Reason Code C7715

Reason Code Narrative

Duplicate 3D-CRT Planning Services.

Common Reason Code Errors

Payments for these services are included in the OPPS payment for HCPCS code 77295 when performed as part of developing a 3D-CRT treatment plan. Under those circumstances, they should not be billed in addition to HCPCS code 77295 (e.g., 1 to 14 days before).

Planning code 77295 includes the following planning codes within 14 days prior to a Line item date of service (LIDOS) for the same patient at the same provider for the following HCPCS:

  • 77014
  • 77280
  • 77285
  • 77290
  • 77305
  • 77306
  • 77307
  • 77310
  • 77315
  • 77316
  • 77317
  • 77318
  • 77326
  • 77328
  • 77336

Common Reason Code Corrections

Providers are not permitted to separately bill for these HCPC codes within 14 days of 77295 under OPPS.

Resource

 

Last Updated Wed, 15 Jul 2020 15:16:09 +0000