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The CPT® Code 77421 refers to a specific procedure known as stereoscopic X-ray guidance, which is utilized for the precise localization of a target volume during the delivery of radiation therapy. This technique involves the use of advanced imaging technology that allows physicians to visualize moving X-ray images on a television monitor. By employing this method, healthcare professionals can accurately identify and confirm the exact location of the treatment area, ensuring that the radiation is delivered precisely to the intended site. This is crucial in radiation therapy, as accurate targeting minimizes exposure to surrounding healthy tissues and maximizes the effectiveness of the treatment on the tumor or affected area. The use of stereoscopic X-ray guidance enhances the overall safety and efficacy of radiation therapy procedures, making it an essential component in the planning and execution of cancer treatment protocols.
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The procedure associated with CPT® Code 77421 is indicated for the following conditions:
The procedure for stereoscopic X-ray guidance involves several critical steps to ensure accurate localization of the target volume. Initially, the patient is positioned appropriately to allow optimal imaging access to the area requiring treatment. The physician then utilizes specialized equipment to generate stereoscopic X-ray images, which are essentially two-dimensional images taken from different angles. These images are processed and displayed on a television monitor, allowing the physician to visualize the target area in real-time. The physician carefully analyzes the moving images to confirm the exact location of the target volume, making any necessary adjustments to the treatment plan based on the visual feedback. This step is crucial as it ensures that the radiation therapy is directed precisely at the tumor or affected tissue, thereby enhancing the treatment's effectiveness while minimizing potential damage to surrounding healthy tissues.
After the completion of the stereoscopic X-ray guidance procedure, the physician may provide specific post-procedure care instructions to the patient. This may include monitoring for any immediate side effects or complications related to the imaging process. Patients are typically advised to follow up with their healthcare provider to discuss the results of the imaging and any subsequent steps in their radiation therapy treatment plan. Additionally, the physician may recommend scheduling further imaging or assessments as needed to ensure the ongoing accuracy of the treatment delivery.
| Short Descr | STEREOSCOPIC X-RAY GUIDANCE | Medium Descr | STRSC X-RAY GDN LOCLZJ TARGET VOL DLVR RADJ THER | Long Descr | Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | 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 | Items and Services Packaged into APC Rates | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | I4B - Imaging/procedure - other | MUE | Not applicable/unspecified. | CCS Clinical Classification | 211 - Therapeutic radiology |
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| 2015-01-01 | Deleted | Code deleted, see 77387 |
| 2006-01-01 | Added | First appearance in code book in 2006. |
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