RADIATION TREATMENT DELIVERY
All treatment delivery codes are reported once per treatment session. The treatment delivery codes recognize technical-only services and contain no physician work (the professional component).
77401 Radiation treatment delivery, superficial and/or ortho voltage, per day
77402 Radiation treatment delivery, >1MeV; simple
77417 Therapeutic radiology port film(s)
77385 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
77387 Guidance for localization of target volume for delivery of radiation treatment delivery, includes intrafraction tracking, when performed
77424 Intraoperative radiation treatment delivery, x-ray, single treatment session
77425 Intraoperative radiation treatment delivery, electrons, single treatment session
Hyperthermia treatments as listed in this section include external (superficial and deep), interstitial, and intracavitary. Radiation therapy when given concurrently is listed separately.
Hyperthermia is used only as an adjunct to radiation therapy or chemotherapy. It may be induced by a variety of sources, (eg, microwave, ultrasound, low energy radio- frequency conduction, or by probes).
The listed treatments include management during the course of therapy and follow-up care for three months after completion. Preliminary consultation is not included (see Evaluation and Management 99241-99255). Physics planning and interstitial insertion of temperature sensors, and use of external or interstitial heat generating sources are included.
The following descriptors are included in the treatment schedule:
77600 Hyperthermia, externally generated; superficial (ie, heating to a depth of 4 cm or less) (Report required)
77605 deep (ie, heating to depths greater than 4 cm) (Report required)
77610 Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators (Report required)
77615 more than 5 interstitial applicators (Report required)
CLINICAL INTRACAVITARY HYPERTHERMIA
77620 Hyperthermia generated by intracavitary probe(s) (Report required)