Radiation Therapy Treatment Management: Bundled Services - JE Part B

Radiation therapy treatment management (CPT codes 77427-77435) includes payment for the following services and procedures:

CPT Codes

• 11920
• 11921
• 11922
• 16000
• 16010
• 16015
• 16020
• 16025
• 16030
• 36425
• 53670
• 53675
• 99211
• 99212
• 99213
• 99214
• 99215
• 99238
• 99281
• 99282
• 99283
• 99284
• 99285
• 90780
• 90781
• 90847
• 99050
• 99052
• 99054
• 99058
• 99071
• 99090
• 99185
• 99371
• 99372
• 99373

Or codes related to the following:

• Anesthesia
• Care of infected skin
• Checking of treatment charts
• Verification of dosage, as needed
• Continued patient evaluation, examination, written progress notes, as needed
• Final physical examination
• Medical prescription writing
• Nutritional counseling
• Pain management
• Review and revision of treatment plan
• Routine medical management of unrelated problem
• Special care of ostomy
• Written reports, progress note
• Follow-up examination and care for 90-days after last treatment

Resources

• Internet Only Manual (IOM), Publication 100-04, Medicare Claims Processing Manual, Chapter 13, Section 70.2
• CMS National Correct Coding Initiative Edits