RADIATION ONCOLOGY: Your Reimbursement For Radiation Therapy Will Be Slashed By Edits

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a set of Correct Coding Initiative (CCI) edits affecting radiation oncology and several related professional services. It is aimed at coders, billers, and revenue cycle staff who need to understand how new bundling and mutual-exclusion edits may affect claims involving radiation therapy, stereotactic procedures, psychotherapy, psychological testing, and neuropsychological testing. The discussion focuses on the scope of the edits, the code families involved, and the limited role of modifiers in these situations.

Why This Topic Matters

These edits can affect whether related services are reported separately on the same date of service, making the article relevant for claims accuracy, compliance review, and denials prevention in radiation oncology and behavioral health settings.

Article Sections

  1. Radiation oncology and related service edits

    This section discusses new CCI edits affecting radiation treatment delivery, stereotactic procedures, radiology-related services, and several categories of evaluation and management care.

  2. Psychotherapy and medication management edits

    This section covers edits involving psychotherapy services, pharmacologic management, and stereotactic radiosurgery-related procedures.

  3. Psychological and neuropsychological testing edits

    This section addresses edits involving psychological testing and neuropsychological testing code relationships.

What You Will Learn

  • Which broad service categories are affected by the CCI edits
  • How radiation oncology edits interact with related professional services
  • Which behavioral health service families are included in the edit discussion
  • How the article frames modifier limitations in the context of these edits
  • What testing-code relationships are highlighted by the update

Who Should Read This

  • Medical coders
  • Billing staff
  • Radiation oncology practices
  • Radiology practices
  • Compliance staff
  • Revenue cycle teams

Codes Discussed

  • HCPCS Level II: G0173
  • HCPCS Level II: 0083T
  • HCPCS Level II: 0082T
  • HCPCS Level II: G0243
  • HCPCS Level II: G0251
  • HCPCS Level II: G0339
  • HCPCS Level II: G0340
  • CPT: 96101
  • CPT: 96102
  • CPT: 96103
  • CPT: 96118
  • CPT: 96119
  • CPT: 96120
  • CPT: 90804
  • CPT: 90805
  • CPT: 90806
  • CPT: 90807
  • CPT: 90808
  • CPT: 90809
  • CPT: 90810
  • CPT: 90811
  • CPT: 90812
  • CPT: 90813
  • CPT: 90814
  • CPT: 90815
  • CPT: 90816
  • CPT: 90817
  • CPT: 90818
  • CPT: 90819
  • CPT: 90820
  • CPT: 90821
  • CPT: 90822
  • CPT: 90847
  • CPT: 90862
  • CPT: 99185
  • CPT: 99201
  • CPT: 99232
  • CPT: 99233
  • CPT: 99234
  • CPT: 99235
  • CPT: 99236
  • CPT: 99289
  • CPT: 99290
  • CPT: 99291
  • CPT: 99292
  • CPT: 99293
  • CPT: 99300
  • CPT: 99301
  • CPT: 99302
  • CPT: 99303
  • CPT: 99304
  • CPT: 99305
  • CPT: 99306
  • CPT: 99307
  • CPT: 99308
  • CPT: 99309
  • CPT: 99310
  • CPT: 99311
  • CPT: 99312
  • CPT: 99313
  • CPT: 99314
  • CPT: 99315
  • CPT: 99316
  • CPT: 99331
  • CPT: 99332
  • CPT: 99333
  • CPT: 99334
  • CPT: 99335
  • CPT: 99336
  • CPT: 99337
  • CPT: 99341
  • CPT: 99342
  • CPT: 99343
  • CPT: 99344
  • CPT: 99345
  • CPT: 99346
  • CPT: 99347
  • CPT: 99348
  • CPT: 99349
  • CPT: 99350
  • CPT: 99360
  • CPT: 99431
  • CPT: 99432
  • CPT: 99433
  • CPT: 99434
  • CPT: 99435
  • CPT: 99436
  • CPT: 99437
  • CPT: 99438
  • CPT: 99439
  • CPT: 99440
  • CPT: 99455
  • CPT: 99456
  • CPT: 77401
  • CPT: 77402
  • CPT: 77403
  • CPT: 77404
  • CPT: 77405
  • CPT: 77406
  • CPT: 77407
  • CPT: 77408
  • CPT: 77409
  • CPT: 77410
  • CPT: 77411
  • CPT: 77412
  • CPT: 77413
  • CPT: 77414
  • CPT: 77416
  • CPT: 77417
  • CPT: 77418
  • CPT: 77421
  • CPT: 77422
  • CPT: 77423
  • CPT: 77424
  • CPT: 77425
  • CPT: 77426
  • CPT: 77427
  • CPT: 77428
  • CPT: 77429
  • CPT: 77430
  • CPT: 77431
  • CPT: 77432
  • CPT: 77433
  • CPT: 77434
  • CPT: 77435
  • CPT: 77436
  • CPT: 77437
  • CPT: 77438
  • CPT: 77439
  • CPT: 77440
  • CPT: 77441
  • CPT: 77442
  • CPT: 77443
  • CPT: 77444
  • CPT: 77445
  • CPT: 77446
  • CPT: 77447
  • CPT: 77448
  • CPT: 77449
  • CPT: 77450
  • CPT: 77451
  • CPT: 77452
  • CPT: 77453
  • CPT: 77454
  • CPT: 77455
  • CPT: 77456
  • CPT: 77457
  • CPT: 77458
  • CPT: 77459
  • CPT: 77460
  • CPT: 77461
  • CPT: 77462
  • CPT: 77463
  • CPT: 77464
  • CPT: 77465
  • CPT: 77466
  • CPT: 77467
  • CPT: 77468
  • CPT: 77469
  • CPT: 77470
  • CPT: 77520
  • CPT: 77525

Code Ranges Discussed

  • CPT: 99289-99337
  • CPT: 99341-99350
  • CPT: 99431-99440
  • CPT: 99455-99456
  • CPT: 77401-77414
  • CPT: 99201-99233
  • CPT: 99234-99285
  • CPT: 77416-77417
  • CPT: 99289-99350
  • CPT: 77520-77620
  • CPT: 77261-77370
  • CPT: 77416-77418
  • CPT: 77422-77470
  • CPT: 90810-90815
  • CPT: 77261-77525
  • CPT: 90804-90809
  • CPT: 90816-90822
  • CPT: 96102-96103
  • CPT: 96118-96120

Modifiers Discussed

  • CPT: 25

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