Radiation Codes

61798

1 complex cranial lesion

77295

3-dimensional radiotherapy plan, including dose-volume histograms

77261,77262,77263

77261Therapeutic radiology treatment planning.. 77262 intermediate,77263....complex

simulation

77285...intermediate.....77290... complex

618000

Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure)

77300

Basic radiation dosimetry calculation, central axis cepth dose calculation

77316

Brachytherapy isodose plan...simple....from 1 to 4 sources, or remote afterloading calculation s) Brachytherapy isodose plan, simple (calculations made brachytherapy, 1 channel), includes basic dosimetry

77307

Complex treatment areas,tangential port, wedges,blocking,rotation beam,

77012

Computed tomography guidance for needle placeiment eg, biopsy, aspiration, injection, localization device, radiological supervision and interpretation

77014

Computed tomography guidance for placement of radiation therapy fields

77011

Computed tomography guidance for stereotoctio localization

77013

Computed tomography guidance for, and monitoring of parenchymal tissue ablation

61790

Creation of lesion by stereotactic method, percutaneous by neurolytic agent leg, alcohol, thermal, electrical radiofrequencyl: gasserian ganglion CPT Assistant

Proton beam treatment delivery

Definitions Simple proton treatment delivery to a single treatmenit area utilizing a single non-tangential/oblique port, custom block with compensation (77522) and without compensation (77520). Intermediate proton treatment delivery to one or more treatment areas utilizing two or more ports or one or more tangential/oblique ports, with custom blocks compensators. Complex proton treatment delivery to one or more Com treatment areas utilizing two or more ports per treatmen area with maching or patching fields and/or multiple isocenters, with custom blocks and compensators

77002

Fluoroscopic guidance for needle placement leg, biopsy aspiration, injection, localization device (separately in addition to code for priniary procedure

76000

Fluoroscopy (separate procedure). up to 1 hour phys cia or other qualified health care professional time

77387

Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed

complex

High complex blocking, costume shielding blocks,tangential ports,special wedges,three or more separate treatment areas and or special beams

57156

Insertion of a vaginal radiation afterloading apparaius for clinical brachytherapy CPT Changes: An Insider's View

57155

Insertion of uterine tandem and/or vaginal ovoids fdh clinical brachytheraby

77385,77386

Intensity modulated radiation treatment delivery ( MRT includes guidance and tracking, when performed; simple 77386-complex

77301

Intensity modulated radiotherapy plan, including dose- volume histograms for target and critical structure partial tolerance specifications

77407,77412

Intermediate /complex

77317

Intermediate calculation are from5 to 10 sources or remote afterloading,brachytherapy 2-12 channels

31575

Laryngoscopy, flexible; diagnostic CPT Changes: An Insider's View 20 CPT Assistant Dec 16:13, Apr 178. Jul 17:7

77021

Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection or placement of localization device) radiological supervisio and interpretation

77338

Multi-leaf collimator (MLC) devicels) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

77336

Physics consultation

49411

Placement of interstitial device's) for radiation therapy guidance (eg, fiducial markers, dosimeter, percutane intra-abdominal, intra-pelvic (except prostate). andfor retroperitoneum, single or multiple CPT Changes: An Insider's View 2010, 2017 CPT

32553

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneos intra-thoracic, single or multiple CPT Changes: An Insider's View 2010,2017 CPT Assistant Feb 10:6,7, Jun 15.6, Jun 16:3 Report supply of device separately) (For imaging guidance, see 76942,77002,77012,77021) For percutaneous placement of interstitial deviceis] for intra-abdominal, intrapelvic, and/or retroperitonea radiation therapy guidance, use 49411)

55876

Placement of interstitial devicels) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple CPT Changes: An Insider's View 2007, 2010, 2011 CPT Assistant May 07:1, Oct 07:1, Feb 10.7, 12, Jun 16:3

49412

Placement of interstitial devicets) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra- abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to code for primary procedure) CPT An Insider's

20555

Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) CPT Changes: An Insider's View 2008 CPT Assistant Feb 08.8

55920

Placement of needles or catheters into pelvic organs and/ genitalia (except prostate) for subsequent interstitial radioelement application CPT Changes: An Insider's View 2008 OPT Assistant Apr 09. 10

41019

Placement of needles, catheters, or other devic ets the head and/or neck region (percutaneous, ts transnasal) for subsequent interstitial radicea application CPT Changes: An Insider's View 2008 Fot imaging quidance, see 76942.77002, 77012. 77021) For stereotactic insertion of intracranial brachytherapy radiation sources, use 61770) For interstitial radioelement application, see 77770, 77771 77772, 77778

19298

Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance CPT Changes: An Insider's View 2005, 2017 CPT Assistant Apr 05.6-7,9,16, Nov 05:15, Apr 09.3, Mar 10:10

19296

Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy 19296 CPT Changes: An Insider's View 2005, 2009 CPT Assistant Apr 05:6-8, Nov 05:15, Apr 09:3, Dec 09:9 Mar 10:10

19294

Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation erapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure CPT Changes: An Insider's View 2018 use 19294 in conjunction with 19301,19302

77402

Radiation treatment delivery, >1 MeV; simple Insider's View

77371

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based

77401

Radiation treatment delivery, superficial and/or ortho voltage, per day

77427,77431

Radiation treatment management...5 treatments Radiation therapy management with complete course of therapy 1 to 2 factions

77293

Respiratory motion management sim

Radiation management and treatment....definitions

Simple: All of the following criteria are met (and none of the complex or intermediate criteria are met): single treatment area, one or two ports, and two or fewer simple Intermediate: Any of the following criteria are met (and none of the complex criteria are met): 2 separate treatment areas, 3 or more ports on a single treatment area, or 3 or more simple blocks Complex: Any of the following criteria are met: 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, field-in-field or other tissue compensation that does not meet IMRT guidelines, tron beam

Intensity Modulated Radiation Therapy (IMRT)

Simple: Any of the following: prostate, breast, and all sites using physical compensator based IMRT Complex: Includes all other sites if not using physical compensator based IMRT.

77331

Special dosimetry (eg, TLD, microdosimetry) (specify). only when prescribed by the treating physician CPT

77370

Special medical radiation physics consultation CPT

77321

Special teletherapy port plan, particles, hemibody, total body

77373

Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

61781

Stereotactic computer-assisted (riavigational) procedure. cranial, intradural (List separately in addition to code for primary procedure

61796

Stereotactic radiosurgery (particle beam, gamma ray, or linear acceleratorl; 1 simple cranial lesion

77306

Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)

77417

Therapeutic radiology port images

77280

Therapeutic radiology sim-added field setting

32701

Thoracic target(s delineation for stereotactic bad radiation therapy (SRS/SBRT), (photon. or pericie ben! entire course of treatment CPT Changes: An Insider's View 2013 CPT Assistant Jun 15:6 (Do not report 32701 in conjunction with 77261-77799) (For placement of fiducial markers, see 31626, 32553)

Intermediate

Three our more converting ports,3 separate treatment ares, multiple blocks or special time dose contrains

55874

Transperineal placement of biodegradable material, peri prostatic, single or multiple injectionts), including image guidance, when performed CPT Changes: An Insider's View 2018 Do not report 55874 in conjunction with 76942)

55875

Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with er without cystoscopy

77332

Treatment devices, design and construction; simple simple block, simple bolus)

76965

Ultrasonic guidance for interstitial radioelement application

76942

Ultrasonic guidance for needle placement (eg, biopst aspiration, injection, localization device), imaging supervision and interpretatio

77318

complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels) includes basic dosimetry calculationls)

77334

complex (irregular blocks, special shields, compensators, wedges, molds or casts)

19297

concurrent with partial mastectomy fList separately in addition to code for primary procedure) CPT Changes: An Insider's View 2005, 2009 CPT Assistant Apr 05:6-8, Nov 05:15, Apr 09:3, Mar 10:10 (Use 19297 in conjunction with 19301 or 19302)

61782

cranial, extradural (List separately in addition to code for primary procedure CPT Changes:

61799

each additional cranial lesion, comp separately in addition to code for pria CPT Changes:

61797

each additional cranial lesion, simple (List separate in addition to code for primary procedure)

63620

each additional spinal lesion (List separately in addition to code for primary procedure)

77333

intermediate (multiple blocks, stents, bite blocks, special bolus)

77372

linear accelerator based

simple

planning requires a single treatment area of interest encompassed in a single port or simple parallel opposed with simple no blocking

76873

prostate volume study for brachytherapy treatme planning (separate procedure)

61791

rigeminal medullary tract

simulation definition....

simple.. single treatment,intermediate...two separate treatment areas,complex....three or more treatment areas

61783

spinal (List separately in addition to code for primary procedure)

31643

with placement of catheter(s) for intracavitary radioelement application CPT Changes: An Insider's View 2010 CPT Assistant Nov 98:12, Mar 99.3, Jan 02:10, Aug 4 Apr 09:3, Mar 13:8 For intracavitary radioelement application see 77761-77763,77770,77771,77772

49327

with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter) intra-abdominal, intrapelvic, and/or retroperitoneum including imaging guidance , if performed , single multiple (List separately in addition to code for primary procedure) CPT Changes: An Insider's View 2011 (Use 49327