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The teletherapy isodose plan, represented by CPT® Code 77306, is a specialized procedure that involves the meticulous planning of radiation therapy for patients. This procedure is typically carried out by a medical dosimetrist and/or a qualified medical physicist, all under the supervision of a radiation oncologist. The primary objective of the teletherapy isodose plan is to accurately determine the amount, rate, and distribution of radiation that will be delivered to a specific area of interest, such as a tumor, using an external beam radiation source like a linear accelerator or cobalt unit. The planning process includes creating a detailed graphic representation of the patient's anatomy, which is essential for visualizing how the radiation will interact with the body. To achieve this, the planning utilizes a dataset derived from digitally reconstructed radiographs, which helps in designing the optimal port locations for radiation delivery. The procedure is classified as 'simple' when it involves one or two unmodified ports directed at a single treatment area, as indicated by Code 77306. This simplicity allows for basic dosimetry calculations, which can be performed either manually or through computer software. In contrast, more complex scenarios that require additional considerations, such as multiple treatment areas or specialized techniques, are coded differently, specifically under Code 77307. This distinction is crucial for accurate medical coding and billing, ensuring that the complexity of the procedure is appropriately reflected in the coding process.
© Copyright 2025 Coding Ahead. All rights reserved.
The teletherapy isodose plan (CPT® Code 77306) is indicated for patients requiring targeted radiation therapy for various medical conditions, particularly tumors. The following conditions may warrant the use of this procedure:
The procedure for creating a teletherapy isodose plan involves several key steps that ensure accurate radiation delivery. Each step is critical to the overall effectiveness of the treatment.
After the teletherapy isodose plan has been developed and approved, the patient will typically proceed to the radiation treatment phase. Post-procedure care may include monitoring the patient for any immediate reactions to the treatment and providing instructions on what to expect during the radiation therapy sessions. Follow-up appointments may be scheduled to assess the effectiveness of the treatment and to make any necessary adjustments to the radiation plan based on the patient's response. It is essential for healthcare providers to maintain clear communication with the patient throughout this process to ensure optimal care and support.
| Short Descr | TELETHX ISODOSE PLAN SIMPLE | Medium Descr | TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION | Long Descr | Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s) | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | 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) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on MPFS nonfacility PE RVUs. | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | P7A - Oncology - radiation therapy | MUE | 1 |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GC | This service has been performed in part by a resident under the direction of a teaching physician | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 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 | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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