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The CPT® Code 77523 refers to the delivery of proton treatment, specifically categorized as intermediate. This procedure involves the administration of radiation therapy using a proton beam, which is a type of particle therapy that utilizes protons to target tumors. The precision of proton therapy allows for the effective treatment of tumors that are situated deep within the body, often surrounded by significant amounts of healthy tissue. By focusing the proton beam directly on the tumor, the risk of damaging adjacent healthy tissues is minimized, making it a preferred option for certain types of cancers. The procedure is characterized by its delivery to two or more treatment areas, which may involve the use of two or more ports or a combination of tangential and oblique ports. Additionally, custom blocks and compensators are employed to enhance the accuracy and effectiveness of the treatment, ensuring that the proton beam conforms to the shape of the tumor while sparing surrounding healthy structures.
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The procedure associated with CPT® Code 77523 is indicated for the treatment of tumors that require precise targeting due to their location beneath healthy tissue. The following conditions may warrant the use of proton treatment delivery:
The procedure for CPT® Code 77523 involves several key steps to ensure the effective delivery of proton therapy. The following outlines the procedural steps:
After the completion of the proton treatment delivery, patients may be monitored for any immediate side effects or reactions to the therapy. Post-procedure care typically includes follow-up appointments to assess the effectiveness of the treatment and to monitor for any potential complications. Patients may experience some fatigue or localized skin reactions, which should be managed according to the healthcare provider's recommendations. Ongoing assessments will help determine the need for additional treatments or interventions as part of the overall cancer care plan.
| Short Descr | PROTON TRMT INTERMEDIATE | Medium Descr | PROTON TX DELIVERY INTERMEDIATE | Long Descr | Proton treatment delivery; intermediate | Status Code | Carriers Price the 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 | 09 - 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 | ASC Payment Indicator | Radiology service paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS relative payment weight. | Type of Service (TOS) | 6 - Therapeutic Radiology | Berenson-Eggers TOS (BETOS) | P7A - Oncology - radiation therapy | MUE | 2 | CCS Clinical Classification | 211 - Therapeutic radiology |
| Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | 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. | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 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. | AM | Physician, team member service | 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 | QT | Recording and storage on tape by an analog tape recorder | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2011-01-01 | Changed | Short description changed. |
| 2001-01-01 | Changed | Code description changed. |
| 2000-01-01 | Added | First appearance in code book in 2000. |
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