AHA Coding Clinic® for HCPCS - 2003 Issue 2; For your information

Clarifying usage of radiation therapy delivery codes

In Program Memorandum (PM), Transmittal A-03-020, CMS has published a clarification of billing instructions for radiation therapy that was published in section XX of Transmittal #A-02-129. The clarification by CMS reads as follows: “CPT codes 77401 through 77416 may be reported more than once per date of service only when radiation treatment is provided during completely different sessions. Only one of these codes may be reported for each treatment session no matter how many areas are treated or no matter how much radiation is delivered. CPT codes 77402 through 77406 describe treatment delivery for a single treatment area...

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