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Oncology coding: Know the right CPT codes for simulation claims

February 14th, 2010 admin No comments

Since you have only one chance to report simulation per treatment course, you should nab the right code the very first time by focusing on the number of ports, treatment volumes and treatment devices.

You can choose four simulation codes from the CPT basket:

  • 77280 – therapeutic radiology simulation-aided field setting; simple
  • 77285 – Intermediate
  • 77290 – Complex
  • 77295 – 3-dimensionalEach code has both professional and technical components, so be sure to append modifier 26 (professional component) when reporting only the physician’ services.

    If your coding software doesn’t alert you when modifier 26 is an option, see if you can enter notes manually for a pop-up reminder. Read more…

    • Categories: Cancer Tags: , , ,