What is the code for brachytherapy?

What is the code for brachytherapy?

20. Brachytherapy is routinely designated complex (CPT code 77263) because it requires complex treatment volume design, dose levels near normal tissue tolerance, analysis of special tests, complex fractionation, or delivery concurrent with other therapeutic modalities or treatment of previously irradiated tissues.

Does Medicare pay for brachytherapy?

CMS has found that electronic brachytherapy is reasonable and medically necessary for the Medicare population over 60 years of age; therefore, electronic brachytherapy is covered for Medicare beneficiaries when services are delivered in clinical situations meeting medical necessity.

What is 3d radiation therapy?

A procedure that uses a computer to create a 3-dimensional picture of the tumor. This allows doctors to give the highest possible dose of radiation to the tumor, while sparing the normal tissue as much as possible. Also called 3-dimensional conformal radiation therapy and 3-dimensional radiation therapy.

Who is eligible for SBRT?

Who Can Benefit From SBRT. Lung cancer candidates for SBRT are patients with small tumors — five centimeters or less — who are poor candidates for surgery due to the risk of functional deficit.

How much does SBRT cost?

Median cost of SBRT was $27,145 compared to $17,183 for brachytherapy, $37,090 for IMRT and $54,706 for proton beam therapy (p<0.001).

What sites are treated with SBRT?

SBRT is used to treat tumors in the lungs, spine, liver, neck, lymph node or other soft tissues.

Who is a candidate for SBRT?

Lung cancer candidates for SBRT are patients with small tumors — five centimeters or less — who are poor candidates for surgery due to the risk of functional deficit.

Are radiation treatments covered by Medicare?

Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. covers radiation therapy for hospital inpatients. Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services.

  • October 5, 2022