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The CPT® Code 77777 refers to the procedure of interstitial radiation source application, specifically categorized as an intermediate level of complexity. This procedure involves the introduction of a radioactive substance, which is securely contained within a device, directly into the body. The primary objective of this intervention is to target and destroy cancerous cells effectively. During the procedure, the physician strategically places the radioactive substance in a range of 1 to 4 interstitial spaces, which are the areas between different organs. This targeted approach allows for localized treatment of malignancies while minimizing exposure to surrounding healthy tissues. It is important to note that if the radioactive substance is placed in 5 to 10 interstitial spaces, the appropriate code to use would be 77777, while for placements in 10 or more spaces, the code 77778 should be utilized. This coding structure ensures accurate representation of the complexity and extent of the procedure performed.
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The procedure coded as CPT® 77777 is indicated for the treatment of various malignancies where localized radiation therapy is deemed necessary. The following conditions may warrant the use of this procedure:
The procedure for interstitial radiation source application involves several critical steps to ensure effective treatment. The following outlines the procedural steps associated with CPT® 77777:
Following the interstitial radiation source application, patients are typically monitored for a short period to ensure there are no immediate adverse reactions. Expected recovery may vary based on individual patient factors and the extent of the procedure. Patients may experience localized discomfort or swelling at the site of the radioactive source placement, which should be managed with appropriate pain relief measures. It is essential for patients to follow any specific post-procedure instructions provided by their healthcare team, which may include activity restrictions, signs of complications to watch for, and scheduling follow-up appointments for further evaluation and monitoring of treatment effectiveness.
| Short Descr | APPLY INTERSTIT RADIAT INTER | Medium Descr | INTERSTITIAL RADIATION SOURCE APPLIC INTERMED | Long Descr | Interstitial radiation source application; intermediate | Status Code | Active Code | Global Days | 090 - Major Surgery | 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 | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 2 - Co-surgeons permitted and no documentation required if the two- specialty requirement is met. | 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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| 2016-01-01 | Deleted | Code deleted, use 77799 |
| 2001-01-01 | Changed | Code description changed. |
| Pre-1990 | Added | Code added. |
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