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Stereotactic radiosurgery (SRS) and stereotactic body radiotherapy (SBRT) are advanced forms of radiation therapy that utilize precise imaging technology to deliver focused radiation to tumor cells while minimizing damage to surrounding healthy tissues. The process begins with the delineation of the target area, which is crucial for accurately identifying the tumor's location and size. This delineation is essential for effective treatment planning and delivery, ensuring that the radiation is directed precisely at the tumor. The CPT® Code 32701 specifically refers to the delineation of thoracic targets for SRS/SBRT, indicating that the procedure is focused on tumors located in the thoracic region of the body. This code encompasses the entire course of treatment, highlighting the importance of thorough pre-treatment planning to define the primary tumor targets accurately. SRS/SBRT is generally administered over multiple sessions, known as fractionation, rather than in a single treatment session. This approach allows for better management of the tumor and can accommodate any necessary adjustments in target delineation if there are significant changes in the tumor's position or size during the treatment course.
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The procedure is indicated for the treatment of various thoracic tumors, including but not limited to:
The procedure involves several critical steps to ensure effective treatment delivery:
After the completion of the SRS/SBRT procedure, patients may require monitoring for any side effects or complications that could arise from the treatment. Follow-up imaging may be necessary to assess the tumor's response to therapy and to determine if any re-delineation of the target area is needed due to changes in tumor size or position. Patients are typically advised on post-treatment care, which may include managing any discomfort or side effects and scheduling regular follow-up appointments to monitor their progress. It is essential to maintain communication with the healthcare team to address any concerns that may arise during the recovery period.
| Short Descr | THORAX STEREO RAD TARGETW/TX | Medium Descr | THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE | Long Descr | Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT), (photon or particle beam), entire course of treatment | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 2 - Professional Component Only Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 41 - Other non-OR therapeutic procedures on respiratory system |
| 53 | Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | LT | Left side (used to identify procedures performed on the left side of the body) | Q6 | Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2013-01-01 | Added | Added |
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