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Code deleted, see 77412

Official Description

Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 MeV

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 77414 refers to the process of radiation treatment delivery that targets three or more separate treatment areas within the body. This procedure employs advanced techniques such as custom blocking, tangential ports, wedges, rotational beams, compensators, and electron beams, specifically utilizing a beam strength ranging from 11 to 19 megavolts (MeV). The primary objective of this treatment is to effectively deliver radiation to multiple tumor sites, thereby maximizing the therapeutic effect while minimizing damage to surrounding healthy tissues. The use of various techniques, such as custom blocking and compensators, allows for precise targeting of the radiation, ensuring that the treatment is tailored to the individual patient's anatomy and the specific locations of the tumors. It is important to note that different codes are designated for varying beam strengths, with CPT® Code 77413 applicable for beam strengths of 6-10 MeV and CPT® Code 77416 for beams of 20 MeV or higher. This structured approach to radiation therapy is crucial for optimizing treatment outcomes in patients with malignancies located in multiple areas of the body.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 77414 is indicated for patients requiring radiation therapy to multiple tumor sites. The following conditions may warrant the use of this treatment:

  • Multiple Tumors Patients with more than one tumor that necessitates targeted radiation therapy to effectively manage and treat the malignancies.
  • Localized Cancer Individuals diagnosed with localized cancers that are confined to specific areas of the body, where radiation can be precisely directed to minimize exposure to surrounding healthy tissues.
  • Recurrent Cancer Cases where cancer has recurred in different areas, requiring additional radiation treatment to control or eliminate the tumors.

2. Procedure

The procedure for CPT® Code 77414 involves several critical steps to ensure effective radiation delivery to the designated treatment areas. The following outlines the procedural steps:

  • Step 1: Treatment Planning The physician conducts a thorough evaluation of the patient's medical history and imaging studies to identify the specific locations of the tumors. This planning phase is essential for determining the appropriate radiation dose and the configuration of the treatment fields.
  • Step 2: Custom Blocking and Setup Custom blocking is created to shield healthy tissues from radiation exposure while allowing the radiation beams to target the tumors. The treatment setup includes positioning the patient accurately to ensure that the radiation is delivered precisely to the intended areas.
  • Step 3: Radiation Delivery The radiation is delivered using advanced techniques such as tangential ports, wedges, and rotational beams. These methods allow for optimal beam angles and intensities, enhancing the effectiveness of the treatment while minimizing side effects.
  • Step 4: Monitoring and Adjustments During the treatment, the medical team continuously monitors the patient's response and the delivery of radiation. Adjustments may be made to the treatment plan as necessary to ensure the best possible outcomes.

3. Post-Procedure

After the completion of the radiation treatment associated with CPT® Code 77414, patients may require specific post-procedure care. This includes monitoring for any immediate side effects, such as skin irritation or fatigue, which are common following radiation therapy. Patients are typically advised to follow up with their healthcare provider to assess the effectiveness of the treatment and to manage any ongoing symptoms. Additionally, ongoing assessments may be necessary to evaluate the response of the tumors to the radiation therapy and to determine if further treatment is required. It is essential for patients to adhere to any prescribed follow-up appointments and to report any unusual symptoms to their healthcare team promptly.

Short Descr RADIATION TREATMENT DELIVERY
Medium Descr RADJ DLVR 3/> AREAS CUSTOM BLKING 11-19MEV
Long Descr Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 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
Date
Action
Notes
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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