tci Part B Insider - 2004 Issue 17

Radiation Therapy: Bill For Extra Fractions With Radiation Therapy

But beware the long arm of the OIGProviders often misunderstand the rules for billing professional management of radiation therapy (77427) because the rules are so different than for other codes. But if you understand this code properly, you can maximize your coding for it and boost your reimbursement. Practices often misunderstand the workings of 77427, which covers one physician management service per five sessions of radiation therapy. So for every five sessions, you're entitled to bill 77427 once. But also, if the patient has three or four sessions at the end of the treatment regimen, you can bill...

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