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A special teletherapy port plan is a meticulously designed treatment strategy that incorporates the use of particles, specifically Proton Beam Therapy (PBT), aimed at either the hemibody or the total body. This advanced form of radiation therapy is characterized by its ability to deliver a highly conformal external beam of radiation, which is particularly beneficial due to its unique dose deposition properties. Unlike conventional radiation therapies, PBT exhibits a lower radiation dose as the beam initially enters the body, with the majority of the therapeutic dose being concentrated over a narrow range of tissue at a specific depth, a phenomenon known as the Bragg peak distribution pattern. This precision makes PBT an ideal choice in scenarios where the target volume is situated near critical anatomical structures, thereby minimizing the risk of excessive early or late normal tissue toxicity, often referred to as hotspots. Additionally, PBT is advantageous in cases where the target area has previously undergone irradiation, allowing for a more effective treatment approach. The planning process for PBT is critical and involves a comprehensive review of patient records, consultations, and advanced imaging techniques such as 3D image acquisition of the target region. This may include simulations using CT, CT/PET, or MRI, particularly when organ movement is anticipated, necessitating the use of multi-phasic image sets. Furthermore, the design of immobilization devices is an essential component of the planning phase. During this process, careful calculations are made regarding field size, gantry angles, and beam energies, ultimately leading to a decision on whether to employ scatter or scanning techniques for the delivery of PBT. This therapy is applicable to various anatomical regions, with particular emphasis on tumors located in the eye, brain, and spine, which are frequently targeted for treatment using this innovative therapy.
© Copyright 2025 Coding Ahead. All rights reserved.
The special teletherapy port plan utilizing Proton Beam Therapy (PBT) is indicated for various clinical scenarios where precision in radiation delivery is paramount. The following conditions and situations warrant the use of this advanced therapeutic approach:
The procedure for implementing a special teletherapy port plan with Proton Beam Therapy involves several critical steps to ensure effective treatment delivery. Each step is designed to optimize the precision and safety of the therapy.
After the completion of the Proton Beam Therapy treatment, patients may require specific post-procedure care to monitor for any immediate side effects and to ensure proper recovery. It is essential to follow up with the patient to assess their response to the therapy and to manage any potential complications that may arise. Regular follow-up appointments may be scheduled to evaluate the effectiveness of the treatment and to conduct any necessary imaging studies to monitor the target area. Additionally, patients should be educated on signs of potential side effects and the importance of adhering to follow-up care to optimize their recovery and treatment outcomes.
| Short Descr | SPECIAL TELETX PORT PLAN | Medium Descr | SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY | Long Descr | Special teletherapy port plan, particles, hemibody, total body | 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 | CCS Clinical Classification | 211 - Therapeutic radiology |
| 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. | 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 | GC | This service has been performed in part by a resident under the direction of a teaching physician | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | CR | Catastrophe/disaster related | 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 | LT | Left side (used to identify procedures performed on the left side of the body) | PN | Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital | Q5 | Service furnished under a reciprocal billing 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 | 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 | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 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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