This page addresses follow-up questions and additional information pertinent to our webinar
Radiology Oncology Revisited.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: How do you code for applicator insertion for ocular melanoma?
A: Effective 1/1/2019, category III code 0190T-Placement of intraocular radiation source applicator was deleted. Unlisted code 67299-Unlisted procedure, posterior segment would be reported for applicator insertion for ocular melanoma.
Q: How do you report supervision, handling and loading of brachytherapy sources?
A: CPT code 77790 is a technical component only code. The service is bundled per NCCI edits into brachytherapy codes 77761-77763, 77778, 77761-77763. Because this is a technical service, there is no reporting of this service by the physician.
Q: May SRS treatment be reported for each separate single-fraction treatment for a patient with three brain metastases?
A: Both 77371 and 77372 can include treatment on 1 or more lesions and both codes have an MUE of 1 with an MUE adjudication indicator of 2. This means only one unit of 77371 or 77372 is reportable. If all lesions cannot be treated during the same single day session, 77435 is reported so long as the course is no more than 5 fractions.
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Tamara Jones, RHIT, CPC, CPMA, CRC
Senior Coding Quality Auditor
Tamara brings over 15 years to Haugen’s team of Coding Quality Auditors & educators. She began her career as a denials specialist, instilling the importance of accuracy from the start! Tamara has a very investigative, analytical mindset which guided her through the roles as claims and coding managers, finding her fit as an auditor. Tamara enjoys reviewing coding assignments, digging into the clinical documentation, and working with clients to share opportunities for improvement. She has identified opportunities for clients to improve clinical documentation, identify deficiencies in processes or guidelines, and provide education to help their staff excel!
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