CPT® Code 77402

1. Indications

The indications for using CPT® Code 77402 include the treatment of various types of malignant tumors where external beam radiation therapy is deemed appropriate. This may encompass:

• Malignant Tumors The primary indication for this procedure is the presence of malignant tumors that require targeted radiation therapy for destruction.
• Palliative Care In cases where curative treatment is not feasible, radiation therapy may be employed to relieve symptoms associated with cancer, such as pain or obstruction.

2. Procedure

The procedure for radiation treatment delivery under CPT® Code 77402 involves several key steps, which are outlined as follows:

• Step 1: Treatment Planning The process begins with a comprehensive evaluation by a radiation oncologist, who assesses the patient's condition, including the type, size, and location of the tumor. This assessment is crucial for determining the appropriate radiation dose and treatment schedule.
• Step 2: Simulation Prior to the actual treatment, a simulation session is conducted to accurately position the patient and identify the precise area to be treated. This may involve imaging techniques to visualize the tumor and surrounding anatomy.
• Step 3: Radiation Delivery During the treatment sessions, a focused beam of radiation is directed at the targeted area from outside the body. For simple radiation treatment delivery, one or two ports are utilized, and up to two simple blocks may be employed to shape the radiation beam and protect adjacent healthy tissues.
• Step 4: Monitoring and Adjustments Throughout the course of treatment, the radiation oncologist monitors the patient's response to therapy and may make necessary adjustments to the treatment plan based on the patient's tolerance and any side effects experienced.

3. Post-Procedure

After the completion of radiation treatment delivery using CPT® Code 77402, patients may experience a range of side effects, which can vary based on the area treated and the total dose of radiation administered. Common post-procedure care includes monitoring for any acute reactions, such as skin irritation or fatigue, and providing supportive care to manage these symptoms. Follow-up appointments are typically scheduled to assess the patient's recovery and response to treatment, as well as to plan any further interventions if necessary. It is essential for healthcare providers to educate patients about potential long-term effects and the importance of ongoing surveillance for any recurrence of malignancy.