© Copyright 2025 American Medical Association. All rights reserved.
The CPT® Code 77387 refers to the guidance for localization of the target volume for the delivery of radiation treatment, which includes the process of intrafraction tracking when performed. This procedure is essential in enhancing the precision of radiation therapy, thereby minimizing potential complications associated with treatment. Real-time image-guided radiotherapy is employed to accurately identify the target area that requires radiation, ensuring that the treatment is delivered precisely where it is needed. Intrafraction tracking is a critical component of this process, as it allows for the continuous adjustment of radiation beams during the actual delivery of treatment. This adjustment is necessary to account for any movement of internal organs that may occur due to various physiological activities such as breathing, cardiac function, bowel movements, swallowing, or even sneezing. To facilitate this advanced technique, electromagnetic transponders are typically implanted around the tumor or target area. These transponders work in conjunction with a specialized 4-dimensional electromagnetic array machine, such as Calypso, RayPilot, or AlignRT, which is positioned above the patient during the treatment session. This setup enables real-time communication between the machine and the transponders, allowing for precise localization and tracking of the target volume throughout the radiation delivery process. The integration of these technologies significantly improves the accuracy of radiation therapy, ultimately leading to better patient outcomes.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 77387 is indicated for the following conditions:
The procedure for CPT® Code 77387 involves several critical steps to ensure accurate localization and tracking of the target volume during radiation treatment.
After the procedure associated with CPT® Code 77387, patients may require monitoring to ensure that the electromagnetic transponders remain correctly positioned and functional. The healthcare team will assess the effectiveness of the localization and tracking during subsequent treatment sessions. Patients may also be advised on any specific post-procedure care related to the implantation site of the transponders, including signs of infection or complications that should be reported. Overall, the goal is to ensure that the radiation treatment continues to be delivered accurately and effectively, optimizing patient outcomes.
| Short Descr | GUIDANCE FOR RADJ TX DLVR | Medium Descr | GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR | Long Descr | Guidance for localization of target volume for delivery of radiation treatment, includes intrafraction tracking, when performed | Status Code | Not Valid for Medicare Purposes | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service 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) | 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 | Items and Services Packaged into APC Rates | ASC Payment Indicator | Packaged service/item; no separate payment made. | 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. | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 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. | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | LT | Left side (used to identify procedures performed on the left side of the body) | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2019-01-01 | Changed | Description Changed |
| 2015-01-01 | Added | Added |
Get instant expert-level medical coding assistance.