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The CPT® Code 77413 refers to a specific type of radiation treatment delivery that involves the administration of radiation to three or more separate treatment areas within the body. This procedure is designed to target and destroy tumors effectively by utilizing a radiation beam with an energy level ranging from 6 to 10 megavolts (MeV). The use of custom blocking, tangential ports, wedges, rotational beams, and compensators are integral components of this treatment, allowing for precise targeting of the affected areas while minimizing exposure to surrounding healthy tissues. The application of electron beams in this context further enhances the treatment's effectiveness, particularly for certain types of tumors. It is important to note that different codes are designated for varying energy levels of radiation beams, with Code 77414 applicable for beams ranging from 11 to 19 MeV, and Code 77416 for beams of 20 MeV or higher. This structured approach to radiation therapy is crucial for optimizing patient outcomes and ensuring that the treatment is tailored to the specific needs of each individual patient.
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The procedure associated with CPT® Code 77413 is indicated for the treatment of various tumors located in three or more distinct areas of the body. The use of radiation therapy is typically considered when there is a need to target multiple sites simultaneously to effectively manage or eradicate malignant growths. This approach is particularly beneficial in cases where tumors are dispersed across different anatomical regions, necessitating a comprehensive treatment strategy to maximize therapeutic efficacy while minimizing damage to surrounding healthy tissues.
The procedure for CPT® Code 77413 involves several critical steps to ensure effective radiation treatment delivery. First, the physician will assess the patient's condition and determine the specific areas that require treatment. This assessment is crucial for planning the radiation therapy accurately. Next, custom blocking is created to shield healthy tissues from radiation exposure while allowing the radiation beam to focus on the tumor sites. The treatment utilizes tangential ports, which are angles of radiation entry that optimize the dose delivered to the tumors while minimizing exposure to adjacent healthy structures. Additionally, wedges may be employed to modify the intensity of the radiation beam, ensuring an even distribution of dose across the treatment areas. The use of rotational beams allows for the radiation to be delivered from various angles, enhancing the treatment's effectiveness. Compensators may also be utilized to adjust the radiation dose based on the contours of the patient's anatomy, further refining the treatment delivery. Finally, the procedure incorporates the use of electron beams with an energy level of 6-10 MeV, which is particularly effective for certain types of tumors, ensuring that the radiation is delivered precisely and effectively.
After the completion of the radiation treatment associated with CPT® Code 77413, patients may require specific post-procedure care to monitor their recovery and manage any potential side effects. It is essential for healthcare providers to assess the patient's response to the treatment, including any immediate reactions or discomfort. Patients may experience fatigue, skin irritation, or localized pain in the treated areas, which should be addressed through appropriate management strategies. Follow-up appointments are typically scheduled to evaluate the effectiveness of the treatment and to determine if additional sessions are necessary. Continuous monitoring is crucial to ensure that any complications are promptly identified and managed. Additionally, patients may receive guidance on self-care practices to support their recovery and overall well-being following the radiation therapy.
| Short Descr | RADIATION TREATMENT DELIVERY | Medium Descr | RADJ DLVR 3/> AREAS CUSTOM BLKING 6-10MEV | Long Descr | Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 MeV | 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 |
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| 2015-01-01 | Deleted | Code deleted, see 77412 |
| 2009-01-01 | Changed | Code description changed. |
| 2006-01-01 | Changed | Code description changed. |
| 1991-01-01 | Added | First appearance in code book in 1991. |
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