Coding Question: How is a charge for the use of Strontium 90 for eye treatment calculated?
Coding Response: The correct CPT® code for surface application of radiation source is 77789. Other codes that may be appropriate are 77790 and 77300. CPT code 77300: Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician CPT code 77789: Surface application of radiation source CPT code 77790: Supervision, handling, loading of radiation source Coding Question: What is the code to bill for provider services equivalent to the 0182T code? Place of service is 22, outpatient. Coding Response: It is ASTRO’s opinion that CPT code 0182T is the appropriate code for outpatient services provided for electronic brachytherapy. It has mostly been used and reimbursed for breast cancer, but is also being applied to gynecologic and other sites. Modifier 26 is used
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