An Overview of Radiation Oncology Codes – Part 2

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An Overview of Radiation Oncology Codes Part 2
In radiation oncology, specific CPT code
categories have been established to capture the
various aspects of treatment, including delivery,
planning, and specialized techniques. These codes
not only facilitate billing and reimbursement
processes but also contribute to accurate
communication and tracking of procedures within
the field. In the first part of this article we
discussed, the first five categories of radiation
oncology billing. In this article, we will
explore the radiation oncology codes for
procedures like radiation treatment management
proton beam radiation treatment delivery
radiation hyperthermia treatment clinical
intracavitary radiation hyperthermia treatment
and clinical brachytherapy radiation
treatment. Radiation Oncology Codes The CPT
code range for radiation oncology is 77261-77799,
which is maintained by American Medical
Association. This code range is further divided
into 10 sub categories, we explored the first
five categories in the first part of this
article, so lets discuss the remaining radiation
oncology codes 6. Radiation Treatment
Management (CPT Code Range 77427-77499) Radiation
Treatment Management is an essential aspect
of radiation oncology, ensuring the safe and
effective delivery of radiation therapy to
patients. CPT codes within the range of
77427-77499 encompass a variety of services
related to radiation treatment management.  
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An Overview of Radiation Oncology Codes Part 2

• Key CPT Codes in this code range are as follows
• 77427 Radiation treatment management, 5
  treatments
• 77431 Radiation treatment management, 10
  treatments
• 77432 Radiation treatment management, gt10
  treatments
• 77435 Special treatment procedure (e.g., total
  body irradiation, hemibody irradiation)
• 77470 Radiation treatment delivery, single
  treatment area, single port or parallel opposed
  ports, simple blocks or no blocks
• 77499 Unlisted procedure, radiation oncology
• 7. Proton Beam Radiation Treatment Delivery (CPT
  Code Range 77520-77525)
• Proton beam radiation therapy is an advanced form
  of radiation treatment that utilizes proton beams
  instead of traditional photon beams. The
  corresponding CPT code range for proton beam
  radiation treatment delivery is 77520-77525. It
  is important to note that the selection of the
  appropriate CPT code within the 77520-77525 range
  depends on several factors, including the
  complexity of the treatment plan, the number of
  treatment fields, the use of specialized
  techniques or equipment, and the level of
  integration with other treatment modalities. In
  addition to the delivery of proton beam therapy
  itself, there are other associated

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An Overview of Radiation Oncology Codes Part 2

• services and procedures that may be coded
  separately. These may include treatment planning
  (CPT codes 77299 or 77370), simulation and
  localization procedures (CPT codes 77280-77295),
  and image guidance (CPT codes 77014 and 77417).
• 8. Radiation Hyperthermia Treatment (CPT Code
  Range 77600-77615)
• Radiation hyperthermia treatment, also known as
  thermal therapy, is a specialized technique used
  in radiation oncology to enhance the
  effectiveness of radiation therapy by raising the
  temperature of the targeted tumor or cancerous
  tissue. The CPT code range 77600-77615 is
  dedicated to coding and billing for radiation
  hyperthermia treatments.
• Lets explore these codes in more detail. Some of
  the key CPT codes are as follows
• 77600 Hyperthermia, superficial (e.g.,
  microwave)
• 77605 Hyperthermia, external (including
  infrared)
• 77610 Hyperthermia, interstitial (including
  needle or catheter placement)
• 77615 Hyperthermia, intraoperative

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An Overview of Radiation Oncology Codes Part 2
Factors such as the type of heat source,
treatment modality (external, superficial,
interstitial, or intraoperative), and the extent
of the treatment area should be taken into
account when selecting the appropriate CPT code.
It is worth noting that these codes may have
specific requirements and limitations set by
insurance providers, Medicare, and other payers.
Therefore, it is advisable to review the payers
guidelines and policies to ensure compliance with
their reimbursement requirements. 9. Clinical
Intracavitary Radiation Hyperthermia Treatment
(CPT Code 77620) Clinical intracavitary
radiation hyperthermia treatment (CPT code 77620)
is a specialized procedure used in radiation
oncology to treat certain types of cancer located
within body cavities. It combines intracavitary
radiation therapy with the application of heat,
known as hyperthermia. This treatment modality
has shown promising results in improving
treatment outcomes by enhancing the tumors
response to radiation. Proper documentation and
accurate reporting of this procedure are
essential for appropriate billing and data
collection purposes. 10. Clinical Brachytherapy
Radiation Treatment (CPT Code Range 77750-77799)
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An Overview of Radiation Oncology Codes Part 2

• Brachytherapy is a specialized form of radiation
  therapy that involves the placement of
  radioactive sources directly into or near the
  tumor. It allows for precise delivery of
  radiation to the affected area while minimizing
  exposure to surrounding healthy tissues. The CPT
  code range 77750-77799 is dedicated to describing
  the different procedures and services associated
  with clinical brachytherapy radiation treatment.
• The key CPT codes are as follows
• 77750  Remote afterloading high dose rate
  radionuclide brachytherapy
• 77761  Interstitial or intracavitary
  brachytherapy, simple
• 77762  Interstitial or intracavitary
  brachytherapy, complex
•  
• It is important to note that the specific CPT
  codes within the 77750-77799 range may vary based
  on the complexity and extent of the brachytherapy
  treatment. Some additional codes in this range
  cover specific types of brachytherapy procedures,
  such as intraoperative radiation therapy (IORT)
  or ocular brachytherapy.
• We hope that this article and the first part of
  this article has given you an overview of
  radiation oncology codes. It is important to note
  that the information provided in this article
  serves as a general overview and

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An Overview of Radiation Oncology Codes Part 2
does not substitute for the specific guidelines
and regulations set forth by medical coding
authorities. Healthcare providers should consult
the most up-to-date resources, such as official
CPT coding guidelines and relevant billing
regulations, for accurate and compliant coding
and billing practices in radiation oncology. The
American Medical Association (AMA) periodically
releases updates to the CPT code set, including
guidelines and instructions for proper code
usage. Regularly referring to these updates and
consulting with coding experts can help ensure
accurate coding and appropriate reimbursement for
radiation oncology treatments. About Medical
Billers and Coders (MBC) Medical Billers and
Coders (MBC) is recognized as a leading radiation
oncology billing company, providing comprehensive
and specialized billing services tailored to the
unique needs of radiation oncology practices.
With our deep expertise and extensive knowledge
of the ever-evolving medical billing and coding
landscape, MBC ensures accurate and
efficient revenue cycle management for radiation
oncology providers. Our team of skilled
professionals is well-versed in the intricacies
of radiation oncology coding, including the
specific CPT codes, modifiers, and documentation
requirements. By partnering with MBC, radiation
oncology practices can streamline their billing
processes, maximize reimbursement, and focus on
delivering exceptional patient care. To know more
about our radiation oncology billing services,
email us at
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An Overview of Radiation Oncology Codes Part 2
info_at_medicalbillersandcoders.com or call us
at 888-357-3226. CPT is a registered trademark
of the American Medical Association