Question

Tom is receiving radiation treatment for cancer. During the first week of therapy, he receives five treatments. During the second week, he receives three treatments. What code would be used to report the treatments during the second week of therapy? Would the answer change if only two treatments were administered that week? Dr. Grady, the oncologist, examines Tom for medical evaluation and management. What code would be reported for this service? Must be at least 250 words

Answer 1

The coding of chemotherapy regimen depends upon duration of treatment and the site of treatment.

The site of cancer is not known in the question. So the code would depend on the duration.

The CPT code 77285 is used to report intermediate simulation for two separate treatment areas. so, the coding would be different for two treatment areas

The CPT code 77290 is used to report complex simulation for three (3) or more treatment area. Hence, for three treatment areas as well as 5 treatment areas, the coding would remain the same.

Yes, again as explained earlier if two treatments are given there would be a change in the coding

The code 77336 for medical evaluation and management by Dr Grady the oncologist.