Reason Code C7715 - JE Part A
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:
Common Reason Code Corrections
Providers are not permitted to separately bill for these HCPC codes within 14 days of 77295 under OPPS.
- Office of Inspector General Report - Medicare Could Have Saved Millions of Dollars In Payments For Separately Billed Three-Dimensional Conformal Radiation Therapy Planning Services
View reason code list, return to Reason Code Guidance page.
Last Updated Wed, 04 Jan 2023 18:58:30 +0000