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Official Description

Therapeutic radiology port image(s)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

The CPT® Code 77417 refers to the procedure known as therapeutic radiology port image(s). This procedure involves the acquisition of multiple images taken from various angles using a gantry, which is a part of the radiation therapy equipment. The primary purpose of these images is to accurately locate critical anatomical structures and the position of tumors in patients who are receiving radiation therapy. During the procedure, the patient is carefully positioned on a treatment table to ensure optimal imaging. The radiologic port images are captured at specific angles that correspond to the alignment of the radiation treatment beam. This is crucial for identifying any potential shifts in the tumor's position, as well as the location of vital organs, nerves, and blood vessels surrounding the treatment area. By obtaining these therapeutic port films, healthcare providers can ensure that the radiation dose is precisely delivered to the intended target area, thereby maximizing the effectiveness of the treatment while minimizing exposure to surrounding healthy tissues. It is important to note that CPT® Code 77417 is classified as a technical code and can be reported only once for every five fractions of therapy, encompassing one or more images of either a single area or multiple areas as needed for the treatment plan.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 77417 is indicated for patients undergoing radiation therapy. The specific indications for performing therapeutic radiology port image(s) include:

  • Monitoring Tumor Position The procedure is essential for identifying any changes in the position of the tumor during the course of radiation therapy, which can affect treatment efficacy.
  • Assessing Critical Anatomy It is used to visualize vital organs, nerves, and blood vessels in proximity to the treatment area, ensuring that these structures are not adversely affected by radiation exposure.
  • Guiding Radiation Treatment The images help in accurately aligning the radiation treatment beam with the target area, thereby optimizing the delivery of the radiation dose.

2. Procedure

The procedure for obtaining therapeutic radiology port image(s) involves several key steps, which are detailed as follows:

  • Patient Positioning The patient is positioned on the treatment table in a manner that allows for optimal imaging of the area being treated. This positioning is critical to ensure that the images accurately reflect the location of the tumor and surrounding anatomy.
  • Image Acquisition Multiple gantry angled images are obtained. The angles at which these images are captured are specifically chosen to represent the position of the radiation treatment beam. This step is crucial for ensuring that the images provide a comprehensive view of the treatment area.
  • Image Review After the images are obtained, they are reviewed to assess the position of the tumor and any surrounding critical structures. This review is essential for determining if any adjustments to the treatment plan are necessary based on the current anatomical positioning.

3. Post-Procedure

Following the acquisition of therapeutic radiology port image(s), the patient may be monitored briefly to ensure there are no immediate adverse effects from the imaging process. The images obtained will be analyzed by the radiation oncologist or the medical team to evaluate the positioning of the tumor and surrounding anatomy. Any necessary adjustments to the radiation treatment plan will be made based on the findings from the images. The patient will then continue with their scheduled radiation therapy sessions as planned, with the assurance that the treatment is being delivered accurately to the intended target area.

Short Descr THER RADIOLOGY PORT IMAGE(S)
Medium Descr THERAPEUTIC RADIOLOGY PORT IMAGE(S)
Long Descr Therapeutic radiology port image(s)
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 01 - Procedure must be performed under the general supervision of a physician.
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.
Type of Service (TOS) 6 - Therapeutic Radiology
Berenson-Eggers TOS (BETOS) P7A - Oncology - radiation therapy
MUE 1
CCS Clinical Classification 211 - Therapeutic radiology
Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
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.
95 Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system.
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CR Catastrophe/disaster related
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
GW Service not related to the hospice patient's terminal condition
MH Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
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
2025-01-01 Changed Short and Medium Descriptions changed.
2016-01-01 Changed Description Changed
1991-01-01 Added First appearance in code book in 1991.
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