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CPT's 94780 and 94781

Gerri Posted Thu 05th of January, 2012 19:53:00 PM

Does anyone know what UB/REV code we shuld assign to these two new CPT's? I haven't received my 2012 update the the Uniform Billing Editor yet.

Thanks !

SuperCoder Answered Fri 06th of January, 2012 14:48:27 PM

Gerri, We're researching this for you. We'll have the info as soon as possible.

Thanks for your patience. We've been working like crazy to stay up on all the updates.

Best,
Jen Godreau, CPC, CPMA, CPEDC
Director, SuperCoder.com

Gerri Posted Mon 09th of January, 2012 12:29:07 PM

Thanks so much. I have another question as well, do you know if the new CPT 77469 has a technical component? The description says IORT "management" but the book shows a facility and a professional RVU?

Thanks !

SuperCoder Answered Mon 09th of January, 2012 14:56:17 PM

77469 does not have a technical component. Radiation treatment management requires and includes a minimum of one examination of the patient by the physician for medical evaluation and management (eg, assessment of the patient's response to treatment, coordination of care and treatment, review of imaging and/or lab test results with documentation) for each reporting of the radiation treatment management service. Code 77469 represents only the intraoperative session management and doesnot include medical evaluation and management outside of that session. The professional services furnished during treatment management typically include a.) Review of port films b.) Review of dosimetry, dose delivery, and treatment parameters c) Review of patient treatment set-up.

SuperCoder Answered Mon 09th of January, 2012 15:55:18 PM

Since 94780 and 94781 are pulmonary services. The codes will likely fall under:
Rvenue center ID: 0460
Revenue Code Description: Pulmonary Function
Used in OPPS: Y
Primary cost center source for CCR:3560
Primary cost center name: Pulmonary Function Testing
Secondary cost center source for CCR:
Secondary cost center name: Cardiopulmonary

Gerri Posted Mon 09th of January, 2012 18:00:47 PM

Thank you sooooooo very much!!!!!

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