Medical Coding Exam Prep

Category - Radiology

ONCOLOGY CLINIC NOTE
PATIENT NAME: Watts, Douglas
AGE: 15
DATE: 07/10/2014
DIAGNOSIS: Mantle Cell Lymphoma in the Neck
TREATMENT: Dosimetry

A physician recommends clinical treatment planning, simple simulation of treatment, basic radiation dosimetry calculations (including central axis depth calculation, TDF, NSD, gap calculation, off-axis factor, and calculation of non-ionizing radiation surface) and depth dosing during clinical treatment planning. The amount of radiation is calculated and blocked to protect the remaining healthy tissues in the neck, shield the rest of the body from radiation, determine the dosage delivery and fractionate the radiation into treatments. The patient is scheduled to receive three treatments (once per week for the first two weeks) and once per month for the next three months. An simple treatment device delivers the required dosage to the port.
What is the correct code for this procedure?
  1. 77300, 77332 -51
  2. 77301, 77332 -51
  3. 77300
  4. 77301, 77333
Explanation
Answer: A - The correct codes for the service are: 77300 (Basic Radiation Dosimetry Calculations) and 77332, mod-51 (Design and Construction of the Treatment Device). Modifier -51 needs to be included on the claim to indicate that the procedure was a multiple procedure performed on the same date of service.
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