AMA CPT® Assistant - 2016 Issue 9 (September)

Radiology: Radiation Oncology (Q&A) (September 2016)

September 2016 page 10 Radiology: Radiation Oncology Question: Is it appropriate to report code 77290, Therapeutic radiology simulation-aided field setting; complex, for "computer aided simulation" or "virtual simulation" without a new data set or without a patient present? Answer: No, unless another data set is acquired, it is not appropriate to bill another simulation charge. The CPT definition of simulation states that "simulation is the process of defining relevant normal and abnormal target anatomy, and acquiring the images and data necessary to develop the optimal radiation treatment process for the patient" (CPT® 2016, p 456). CPT-defined simulation codes assume...

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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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