Talk from @DigiaimoRon on billing and coding in #radonc at #ACRO2023.
Cumulative payments in the field are down 30% from 2007 to 2023.
Cumulative payments in the field are down 30% from 2007 to 2023.
#radonc CPT codes are under 77xxx, historically under radiology.
Coding rules from CMS change.
Eg, CT sim and 3D plan historically could not be billed on same day.
Coding rules from CMS change.
Eg, CT sim and 3D plan historically could not be billed on same day.
Modifiers are added to CPT codes.
Commonly misunderstood part of billing: consultation and CT sim can be done on same day, but need to use a modifier.
Remember to also list ICD 10, list laterality.
"CPTs asks if you want to get paid. ICD 10 tells if you will get paid."
Commonly misunderstood part of billing: consultation and CT sim can be done on same day, but need to use a modifier.
Remember to also list ICD 10, list laterality.
"CPTs asks if you want to get paid. ICD 10 tells if you will get paid."
Key components of the consult note.
Although CMS does not mandate when note should be done, advice is to have consult note signed in 24 to 48 hours, follow up note in 72 hours.
If patient has been seen by you or group in past 3 years, it is billed as follow up / established.
Although CMS does not mandate when note should be done, advice is to have consult note signed in 24 to 48 hours, follow up note in 72 hours.
If patient has been seen by you or group in past 3 years, it is billed as follow up / established.
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