Question

in 300 words What is the process for coding of oncology cases? Explain the process of looking up oncology codes. include resources

Answer 1

Process for coding of oncology Cases

Radiation oncology

A series of complex steps involved inthri process of care in radiation oncology which includes

• Assessment and evaluation of patient
• Preparing the patient for treatment
• Radiation process includes treatment devices, special devices
• Radiation treatment delivery
• Treatment management
• Follow up

Coding article inludes

1. Clinical treatment planning ( CPT codes 77261-77263)
2. Simulation ( CPT 77280- 77290)
3. Isodose planning ( CPT code 77295 & 77301)

CPT codes

Treatment plan

• 77261- simple treatment planning ( encompasses single port or simple parallel opposed ports, no blocks)
• 77262- moderate treatment planning (3 or more converging ports, multiple blocks)
• 77263- complex treatment planning ( complex blocking, 3 or more separate treatment areas)

Simulation

• CPT code 77280- simple simulation
• 77285- intermediate simulation ( 2 treatment areas)
• 77290- complex simulation ( 3 or more treatment )
• 77293-respiratory motion management simulation
• 77295- 3dimensional radiotherapy plan
• 77306- simple teletherapy
• 77307- complex teletherapy
• 77321- special teletherapy
• 77332- simple treatment devices
• 77333- intermediate treatment devices
• 77334- complex treatment devices
• IMRT ( intensity modulated RT) with simple technical guidance- CPT code 77385)
• Complex technical guidance- 77386
• 77401- radiation treatment delivery, superficial
• 77402- simple radiation delivery >1 mev
• 77407- intermediate treatment delivery > 1 mev
• 77412- complex treatment delivery>1mev