How Much Does Medicare pay for brachytherapy?

Total Medicare reimbursement was $23,321.71 for IMRT and $16,071.90 for three-dimensional conformal radiation therapy. Brachytherapy showed a fourfold higher attending time per relative value unit (5.68 minutes) compared with either three-dimensional conformal radiation therapy (1.63 minutes) or IMRT (1.32 minutes).

What is procedure code 77336?

Use CPT code 77336 for continuing medical radiation physics consultation, including assessment of treatment parameters, quality assurance of dose delivery, and review of patient treatment documentation in support of the radiation oncologist, reported per week of therapy (once every consecutive five treatments delivered …

When to use CPT code 77370 for brachytherapy?

Special medical radiation physics (CPT code 77370) is used for brachytherapy when requested by the physician for a consultation on an individual patient. It requires a written report for the patient’s chart that must be analyzed by the physician to design or modify a brachytherapy treatment plan.

How many complex plans can brachytherapy be used for?

Only one treatment planning code is allowed per course of treatment. When brachytherapy is used as an adjunct to external beam radiation therapy (EBRT), a single complex plan (77263) is reported to indicate that both modalities were utilized.

How is the HDR code used in brachytherapy?

The HDR code (7778x) is employed for each HDR application (or fraction of treatment, whether multiple fractions daily, weekly or monthly). The following levels of complexity are recognized according to the number of source positions within HDR applicators or the number of dwell positions used in treatment.

When to use CPT code 0394t for brachytherapy?

CPT code 0394T should be used exclusively to report HDR electronic skin surface brachytherapy treatment. CPT code 0395T should be used to report HDR electronic brachytherapy for treating sites other than skin. Both CPT code 0394T and 0395T include the work of basic dosimetry calculation when performed.