Vicky Posted Thu 26th of December, 2013 15:29:14 PM
Is code 77293 only for hospital based radiation?
SuperCoder Answered Thu 26th of December, 2013 18:13:19 PM
CMS will not provide separate payment for the new respiratory management service (+77293) in the hospital outpatient environment. However, it should be listed as a separate line item on all claims where the service is provided and appropriately documented.
This code will be added to your primary code to describe your radiologist’s work when performing respiratory motion management or 4D CT simulation studies. You’ll most likely bill this code with either 77295 (Therapeutic radiology simulation-aided field setting; 3-dimensional) or 77301 (Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications) as your primary code.