tci Medicare Compliance & Reimbursement - 2004 Issue 22

PHYSICIANS: Docs Can Bill More Radiation Treatments

Understanding the timing of same-day reporting is key for physicians. Contrary to common belief, providers can indeed report multiple radiation treatment sessions on the same day -- as long as they adhere to Medicare's guidelines. According to the Centers for Medicare & Medicaid Services' Program Memorandum A-03-020, "Codes 77401 through 77416 may be reported more than once per date of service only when radiation treatment is provided during completely different sessions." Providers can report only one of these codes for each treatment session no matter how many areas are treated or no matter how much radiation is delivered...

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