tci Part B Insider - 2007 Issue 13

Part B Coding Coach: Dodge This Disastrous IMRT Planning Pitfall

What's your payor's rule on 77301 and forward planning?A lot of work goes into planning intensity modulated radiotherapy (IMRT)--roughly $2,000 worth, according to Medicare. But if you don't know your payor's precise definition of IMRT planning and which codes bundle into the service, your claims are doomed. Here are the rules you need to know to ensure you send in clean claims every time. Watch Out for Payor/AMA -IMRT- Discrepancies The appropriate code for IMRT planning is 77301 (Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications).Payors often have very...

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