AMA CPT® Assistant - 2009 Issue 4 (April)

Radiology/Bone/Joint Studies (April 2009)

April 2009 page 10-end Radiology: Bone Joint Studies, 77290, 77280 (Q&A) Question: Is there a situation in which code 77290 would apply instead of code 77280 for verification simulation prior to each high dose rate (HDR) breast brachytherapy (eg, treatment fraction of the breast using an expandable catheter for radioelement application)? Answer: CPT code 77290, Therapeutic radiology simulationaided field setting; complex, may be used for the initial simulation for HDR breast brachytherapy. This involves the complex process of obtaining images of the implanted region to both make position adjustments and perform dose calculations. Nonradioactive "dummy" sources are used...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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