Clinical brachytherapy requires the use of either natural or man-made radioelements applied into or around a treatment field of interest. The supervision of radioelements and dose interpretation are performed solely by the therapeutic radiologist. When a procedure requires the service of a surgeon, see appropriate codes from the Surgery Section.
Services 77750-77799 include admission to the hospital and daily visits.
(Sources refer to intracavitary placement or permanent interstitial placement; ribbons refer to temporary interstitial placement.)
SIMPLE – application with one to four sources/ribbons
INTERMEDIATE – application with five to ten sources/ribbons
COMPLEX – application with greater than ten sources/ribbons
77750 Infusion or instillation of radioelement solution (includes three months follow-up care)
77761 Intracavitary radiation source application; simple
77776 Interstitial radiation source application; simple
77785 Remote afterloading high dose rate radionuclide brachytherapy; 1 channel
77786 2-12 channels
77787 over 12 channels
77789 Surface application of radiation source
77799 Unlisted procedure, clinical brachytherapy