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39.3.8 Radiation Therapy
Radiation treatment management will be considered for reimbursement as defined in the paragraphs of the CPT Manual under the heading of "Radiation Treatment Management." Radiation treatment management is reported in units of five fractions or treatment sessions, regardless of the actual time period in which the services are furnished. The services need not be furnished on consecutive days. Multiple fractions representing two or more treatment sessions furnished on the same day may be counted separately as long as there has been a distinct break in therapy sessions, and the fractions are of the character usually furnished on different days. Procedure code 6-77427 is also reported if there are three or four fractions beyond a multiple of five at the end of a course of treatment; one or two fractions beyond a multiple of five at the end of a course of treatment are not reported separately. The professional services furnished during treatment management typically consists of:
• Review of port films.
•Review of dosimetry, dose delivery, and treatment parameters.
•Review of patient treatment set-up.
•Examination of patient for medical evaluation and management (e.g., assessment of the patient's response to treatment, coordination of care and treatment, review of imaging and/or lab test results).
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