What is procedure code 77295
When imrt is furnished to beneficiaries in a hospital outpatient department that is paid under the hospital outpatient prospective payment system (opps), the payment for services identified with cpt codes 77014, 77280, 77285, 77290, 77295, 77306 through 77321, 77331, and 77370 are included in the bundled ambulatory payment classification (apc.Payment for the services identified by procedure codes 77014, 77280, 77285, 77290, 77295, 77306 through 77321, 77331, and 77370 are included in the apc payment for procedure code 77301 (imrt planning).Commences, the ncci contains edits preventing payment of cpt code 77336 with cpt codes 77261‐77295, 77301‐77318, and 77332‐77334.Hospital outpatient edits do not.These codes should not be reported in addition to cpt code 77301 when provided prior to or as part of the development of the imrt plan.
77295 3d planning 3d physics plan, including dvh, and physician's note detailing medical necessity of the 3d plan 77300 basic radiation dose calculation basic dose calculation, isodose plan or dose verification such as radcalc, imsure, etc for date of service in question and physician's treatment summary.Cpt® 77295 may be utilized in lieu of teletherapy isodose plans (cpt® 77321);If allowed units exceeded thenThis code also includes those procedures done in preparation for use of coplanar therapy beams and, therefore, cpt codes 77280, 77285, and 77290 are not separately payable on the same date.