Monday, March 30, 2015

RADIOLOGY PROCEDURE CODES - Addition, Revised and Deleted Codes for 2015



Revised Codes
77401 Radiation treatment delivery, superficial and/or ortho voltage, per day
77402 Radiation treatment delivery, >1MeV; simple
77407 ; intermediate
77412 ; complex
New Codes
76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete
76642 ; limited
77061 Digital breast tomosynthesis; unilateral
77062 ; bilateral
77063 Screening digital breast tomosynthesis, bilateral
77085 Dual-energy x-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment
77086 Vertebral fracture assessment via dual energy X-ray absorptiometry (DXA)
77306 Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)
77307 ; complex (multiple treatment areas, tangential ports, the use of wedges, blocking, rotational beam, or special beam considerations),includes basic dosimetry calculation(s)
77316 Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s)
77317 ; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s)
77318 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
77385 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
77386 ; complex
77387 Guidance for localization of target volume for delivery of radiation treatment delivery, includes intrafraction tracking, when performed
Deleted Codes
72291 Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance
72292 ; under CT guidance
74291 Cholecystography, oral contrast; additional or repeat examination or multiple day examination
76645 Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation
76950 Ultrasonic guidance for placement of radiation therapy fields
77080 Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)
77305 Teletherapy, isodose plan (whether hand or computer calculated); simple (1 or 2 parallel opposed unmodified ports directed to a single area of interest)
77310 ; intermediate (3 or more treatment ports directed to a single area of interest)
77315 ; complex (mantle or inverted Y, tangential ports, the use of wedges, compensators, complex blocking, rotational beam, or special beam considerations)
77326 Brachytherapy isodose plan; simple (calculation made from single plane, 1 to 4 sources/ribbon application, remote afterloading brachytherapy, 1 to 8 sources)
77327 ; intermediate (multiplane dosage calculations, application involving 5 to 10 sources/ribbons, remote afterloading brachytherapy, 9 to 12 sources)
77328 ; complex (multiplane isodose plan, volume implant calculations, over 10 sources/ribbons used, special spatial reconstruction, remote afterloading brachytherapy, over 12 sources)
77403 Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks; 6-10 MeV
77404 ; 11-19 MeV
77406 ; 20 MeV or greater
77408 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks; 6-10 MeV
77409 ; 11-19 MeV
77411 ; 20 MeV or greater
77413 Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 MeV
77414 ; 11-19 MeV
77416 ; 20 MeV or greater
77418 Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session
77421 Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy

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