Question:
When a course of therapy involves both brachytherapy and external beam therapy, should I report two separate treatment planning codes?
New Jersey Subscriber
Answer:
No. If you check CPT’s “Clinical Treatment Planning (External and Internal Sources)” guidelines, the definition of complex planning includes “combination of therapeutic modalities.”
Your New Jersey Medicare Part B contractor, Highmark, specifies that “Treatment planning is a one-time charge per course of therapy. Billing for multiple treatment plans for a single course of [...]
