Patricia Posted Wed 12th of December, 2012 19:08:29 PM
Can 77280 & 77014 be charged on the same day?
SuperCoder Answered Thu 13th of December, 2012 19:56:44 PM
On the day of the initial CT simulation where we obtain a scan for planning purposes, in most cases we can report a simulation code (77280-77290) and the technical component of CPT code 77014. This requires a simulation note signed by the physician. Within this simulation note, you can report that the CT was performed (i.e., “3mm axial CT images of the thorax were acquired”). Similarly, this simulation document would also document the patient’s positioning, immobilization devices constructed, etc. In this simulation context, CPT code 77014 does not require a separate document, as long as you note it in the simulation document.