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Code deleted, see 77407

Official Description

Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 20 MeV or greater

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 77411 refers to the delivery of radiation treatment that targets two separate treatment areas using three or more ports within a single treatment area. This procedure is specifically designed for cases where a higher energy beam, defined as 20 MeV (megavolts) or greater, is utilized. The primary goal of this treatment is to effectively deliver radiation to destroy tumor cells located in different regions of the body. The use of multiple ports allows for a more precise and effective targeting of the radiation, ensuring that the treatment is both comprehensive and localized to the areas of concern. It is important to note that this code is distinct from other codes that apply to lower energy beams, such as those in the 5-19 MeV range, which are categorized under different CPT® codes. The differentiation in codes based on the energy level of the radiation beam is crucial for accurate medical coding and billing, as it reflects the complexity and intensity of the treatment being administered.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 77411 is indicated for patients requiring targeted radiation therapy for the treatment of tumors located in two separate areas of the body. This may include various types of malignancies where precise radiation delivery is essential to maximize tumor destruction while minimizing exposure to surrounding healthy tissues. The use of multiple ports is particularly beneficial in complex cases where tumors are situated in close proximity to critical structures or when a more extensive area needs to be treated simultaneously.

  • Multiple Tumors Patients with tumors located in different anatomical regions that require simultaneous treatment.
  • Complex Tumor Locations Cases where tumors are adjacent to sensitive structures, necessitating the use of multiple ports for effective radiation delivery.
  • High Energy Requirement Situations where a radiation beam of 20 MeV or greater is necessary to achieve the desired therapeutic effect.

2. Procedure

The procedure for CPT® Code 77411 involves several critical steps to ensure effective radiation treatment delivery. First, the patient is positioned appropriately to allow optimal access to the treatment areas. This positioning is crucial for accurately targeting the tumors while minimizing exposure to healthy tissues. Next, the radiation oncologist will determine the specific treatment areas and the number of ports required for the procedure. The use of three or more ports within a single treatment area allows for a more comprehensive approach to radiation delivery, ensuring that the radiation beams converge effectively on the tumor sites.

  • Step 1: Patient Positioning The patient is carefully positioned to facilitate access to the targeted treatment areas, ensuring that the radiation beams can be accurately directed.
  • Step 2: Treatment Area Identification The physician identifies the two separate treatment areas and determines the number of ports needed for effective radiation delivery.
  • Step 3: Radiation Delivery Radiation is delivered through three or more ports, utilizing a beam strength of 20 MeV or greater, to target the tumors in the designated areas.

3. Post-Procedure

After the completion of the radiation treatment, patients may be monitored for any immediate side effects or reactions to the therapy. It is common for patients to experience fatigue or localized skin reactions in the treated areas. Follow-up appointments are typically scheduled to assess the effectiveness of the treatment and to monitor for any potential complications. Patients may also receive guidance on managing side effects and recommendations for supportive care during their recovery process. The overall recovery time can vary based on individual patient factors and the extent of the treatment administered.

Short Descr RADIATION TREATMENT DELIVERY
Medium Descr RADJ DLVR 2 AREAS 3/> PORTS 1 TX AREA 20 MEV/
Long Descr Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 20 MeV or greater
Status Code Active Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 3 - Technical Component Only 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 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 Procedure or Service, Not Discounted when Multiple
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 77407
2009-01-01 Changed Code description changed.
1991-01-01 Added First appearance in code book in 1991.
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