The correct usage of the new radiation oncology codes. 77395--3-dimensional simulation; 77419--conformal weekly radiation therapy treatment management; 77432--stereotactic treatment management.

Abstract

In summary, radiation oncology now has three new related codes describing the 3-dimensional simulation and treatment of relatively small tumor volumes. These codes, when properly used and completely documented, are reimbursable at rates higher than the conventional simulation and treatment delivery codes that they replace. The physician should be cautioned however, that the indiscriminate use of these codes without accurate documentation of the medical necessity could result in penalties and/or pay back in the event of an audit. As with all new codes, we may rest assured that the insurance carrier will be looking very carefully at the documentation of these new and expensive procedures.