AMA CPT® Assistant - 2016 Issue 2 (February)
Radiation Treatment Delivery (February 2016)
February 2016 pages 3-6 Radiation Treatment Delivery The American Medical Association (AMA) implemented new radiation oncology treatment delivery codes in the Current Procedural Terminology (CPT®) 2015 code set; however, these new codes were not accepted by the Centers for Medicare and Medicaid Services (CMS) into the Medicare Physician Payment Schedule (MFS) for calendar years 2015 and 2016. Instead of implementing the new CPT codes, CMS created the Healthcare Common Procedure Coding System (HCPCS) G-codes to allow the reporting of former treatment delivery, which was represented by the group of deleted radiation treatment delivery CPT codes (see Table 1)...
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Article Overview
This article explains the scope of updated radiation oncology treatment delivery coding after the 2015 CPT revision and compares how reporting differs under Medicare fee schedule, hospital outpatient, and other payer environments. It is aimed at coders, billing staff, and radiation oncology practices that need a high-level understanding of the code families, related imaging guidance, and the setting-specific distinctions discussed in the article.
Why This Topic Matters
Radiation oncology coding changed substantially with the 2015 CPT updates, and this article helps readers understand which code families and payment systems are involved so they can review the full guidance for their own reporting workflow.
Article Sections
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February 2016 pages 3-6
Introduces the article topic and the broader context for radiation oncology treatment delivery coding changes and Medicare reporting differences.
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Conventional Radiation Therapy Treatment Delivery
Reviews the conventional treatment delivery code family and the general distinctions among treatment complexity types. It also discusses related imaging and management code groupings at a high level.
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Image Guidance with Conventional Radiation Therapy Treatment Delivery
Covers the relationship between conventional treatment delivery and image guidance reporting across payment settings. The section also notes how guidance and tracking are addressed in the article.
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IMRT Treatment Delivery
Summarizes the updated intensity-modulated radiation therapy delivery code family and the general factors that distinguish the code categories. It also references how the article frames treatment-setting considerations.
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Image Guidance with IMRT Treatment Delivery
Addresses image guidance considerations when IMRT is performed and how the article discusses related reporting across code families and settings.
What You Will Learn
- How the 2015 CPT radiation oncology delivery updates affected Medicare-related reporting
- How conventional radiation therapy, IMRT, and image guidance are organized in the article
- How reporting differs between Medicare fee schedule and hospital outpatient settings
- Which broad payer and setting considerations the article asks readers to review
Who Should Read This
- Medical coders
- Radiation oncology billing staff
- Revenue cycle teams
- Hospital outpatient coding staff
- Freestanding radiation oncology practices
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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