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CPT®
77327

CPT® Code 77327
Deleted

Code deleted, see 77317

Official Description

Brachytherapy isodose plan; intermediate (multiplane dosage calculations, application involving 5 to 10 sources/ribbons, remote afterloading brachytherapy, 9 to 12 sources)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Brachytherapy isodose planning is a specialized procedure used in the treatment of cancer, where radioactive material is strategically placed within or near a tumor to deliver targeted radiation therapy. This method allows for a high dose of radiation to be administered directly to the cancerous tissue while minimizing exposure to surrounding healthy tissues. The process involves complex multiplane dosage calculations to ensure that the radiation is distributed evenly and effectively throughout the treatment area. In this specific procedure, the application includes the use of 5 to 10 sources or ribbons of radioactive material, which are precisely positioned to optimize the therapeutic effect. Additionally, remote afterloading brachytherapy is utilized, which means that the radioactive sources are loaded into the treatment site using a remote-controlled device, enhancing safety and precision. The procedure typically involves the use of 9 to 12 sources to achieve the desired radiation dose, making it a critical component in the management of certain types of cancer.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The brachytherapy isodose plan, as described by CPT® Code 77327, is indicated for patients undergoing treatment for specific types of cancer where localized radiation therapy is beneficial. The following conditions may warrant the use of this procedure:

  • Cancer Treatment The procedure is primarily indicated for patients diagnosed with cancer, where the goal is to deliver targeted radiation therapy directly to the tumor site.
  • Localized Tumors It is particularly effective for tumors that are localized and can be treated with internal radiation, minimizing damage to surrounding healthy tissues.
  • Need for Precision The procedure is indicated when precise dosage calculations are necessary to ensure effective treatment while reducing the risk of side effects.

2. Procedure

The brachytherapy isodose planning procedure involves several critical steps to ensure the effective delivery of radiation therapy. Each step is designed to maximize the treatment's efficacy while ensuring patient safety.

  • Step 1: Patient Assessment The process begins with a thorough assessment of the patient, including imaging studies to determine the size, location, and type of tumor. This information is crucial for planning the brachytherapy treatment.
  • Step 2: Treatment Planning Following the assessment, the physician develops a detailed treatment plan. This plan includes multiplane dosage calculations, which are essential for determining how the radiation will be distributed within the tumor and surrounding tissues.
  • Step 3: Source Selection The physician selects the appropriate number of radioactive sources or ribbons, typically ranging from 5 to 10, based on the treatment plan. The choice of sources is critical for achieving the desired radiation dose.
  • Step 4: Remote Afterloading Setup The procedure utilizes remote afterloading technology, where the radioactive sources are loaded into the treatment area using a remote-controlled device. This step enhances safety by minimizing the exposure of healthcare personnel to radiation.
  • Step 5: Treatment Delivery Once the sources are in place, the treatment is delivered according to the established plan. The physician monitors the process to ensure that the radiation is administered accurately and effectively.
  • Step 6: Post-Procedure Evaluation After the treatment, the physician evaluates the effectiveness of the procedure and may schedule follow-up imaging studies to assess the tumor's response to the therapy.

3. Post-Procedure

Post-procedure care following brachytherapy isodose planning is essential for monitoring the patient's recovery and ensuring the effectiveness of the treatment. Patients may experience some side effects, which should be managed appropriately. Follow-up appointments are typically scheduled to assess the patient's response to the treatment and to monitor for any potential complications. Additionally, patients may receive instructions regarding activity restrictions, care of the treatment site, and signs of complications that should prompt immediate medical attention. It is crucial for healthcare providers to communicate clearly with patients about what to expect during the recovery process and to provide support as needed.
Short Descr BRACHYTX ISODOSE CALC INTERM
Medium Descr BRACHYTHERAPY ISODOSE PLAN INTERMEDIATE
Long Descr Brachytherapy isodose plan; intermediate (multiplane dosage calculations, application involving 5 to 10 sources/ribbons, remote afterloading brachytherapy, 9 to 12 sources)
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 9 - 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 Ancillary Services
Type of Service (TOS) 6 - Therapeutic Radiology
Berenson-Eggers TOS (BETOS) P7A - Oncology - radiation therapy
MUE Not applicable/unspecified.
CCS Clinical Classification 211 - Therapeutic radiology
Date
Action
Notes
2015-01-01 Deleted Code deleted, see 77317
2003-01-01 Changed Code description changed.
Pre-1990 Added Code added.
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