How To Use CPT Code 0663T

CPT 0663T describes the procedure of scalp cooling during a chemotherapy session, specifically the placement, monitoring, and removal of a mechanical cooling device. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0663T?

CPT 0663T can be used to describe the process of scalp cooling during a chemotherapy session. It involves the placement, monitoring, and removal of a mechanical cooling device, which consists of a cap connected to a cooling unit. The provider assists the patient with the use of this device throughout the chemotherapy session.

2. Official Description

The official description of CPT code 0663T is: ‘Scalp cooling, mechanical; placement of device, monitoring, and removal of device (List separately in addition to code for primary procedure).’ This code should be used in conjunction with other relevant codes for chemotherapy administration.

3. Procedure

  1. During a chemotherapy session, the provider places a mechanical cooling device on the patient’s scalp.
  2. The provider then monitors the patient’s use of the device, ensuring that it is properly connected and functioning.
  3. Throughout the session, the provider watches for any issues such as patient discomfort, low coolant levels, or the temperature being outside the desired range.
  4. Once the chemotherapy session is complete, the provider removes the cooling device and performs the necessary steps to end the cooling process.

4. Qualifying circumstances

CPT 0663T is applicable when scalp cooling is performed during a chemotherapy session. It is important to note that this code should be used in addition to the primary procedure code for chemotherapy administration. The use of a mechanical cooling device, such as the one described in this code, must be involved in the procedure.

5. When to use CPT code 0663T

CPT code 0663T should be used when the provider is assisting the patient with mechanical scalp cooling during a chemotherapy session. It is important to report this code in conjunction with the appropriate primary procedure code for chemotherapy administration. This code should be reported once per chemotherapy session.

6. Documentation requirements

To support a claim for CPT 0663T, the provider must document the following information:

  • The date and duration of the chemotherapy session
  • The placement, monitoring, and removal of the mechanical cooling device
  • Any issues or complications encountered during the cooling process
  • The steps taken to ensure the proper functioning of the device
  • Any additional relevant details specific to the patient’s case

7. Billing guidelines

When billing for CPT 0663T, it is important to ensure that the procedure involves the placement, monitoring, and removal of a mechanical cooling device during a chemotherapy session. This code should be reported in addition to the primary procedure code for chemotherapy administration. It is also essential to follow the specific guidelines provided by payers regarding the appropriate use of this code.

8. Historical information

CPT 0663T was added to the Current Procedural Terminology system on July 1, 2021. There have been no updates or changes to the code since its addition.

9. Examples

  1. A provider places a mechanical cooling device on a patient’s scalp before starting a chemotherapy session. Throughout the session, the provider monitors the patient’s use of the device and ensures its proper functioning. Once the session is complete, the provider removes the cooling device.
  2. During a chemotherapy session, a provider assists a patient with the placement and monitoring of a mechanical cooling device on their scalp. The provider closely watches for any issues or discomfort experienced by the patient. After the session, the provider removes the cooling device and concludes the cooling process.
  3. In a chemotherapy session, a provider places a mechanical cooling device on the patient’s scalp and continuously monitors its use. The provider ensures that the device is properly connected and functioning throughout the session. At the end of the session, the provider removes the cooling device and completes the necessary steps to end the cooling process.
  4. Throughout a chemotherapy session, a provider assists a patient with the placement and monitoring of a mechanical cooling device on their scalp. The provider carefully observes the patient for any discomfort or issues related to the device. Once the session is finished, the provider removes the cooling device and concludes the cooling process.
  5. A provider places a mechanical cooling device on a patient’s scalp before the start of a chemotherapy session. Throughout the session, the provider monitors the patient’s use of the device and ensures its proper functioning. At the end of the session, the provider removes the cooling device and completes the necessary steps to end the cooling process.
  6. During a chemotherapy session, a provider assists a patient with the placement and monitoring of a mechanical cooling device on their scalp. The provider closely watches for any issues or discomfort experienced by the patient. After the session, the provider removes the cooling device and concludes the cooling process.
  7. In a chemotherapy session, a provider places a mechanical cooling device on the patient’s scalp and continuously monitors its use. The provider ensures that the device is properly connected and functioning throughout the session. At the end of the session, the provider removes the cooling device and completes the necessary steps to end the cooling process.
  8. Throughout a chemotherapy session, a provider assists a patient with the placement and monitoring of a mechanical cooling device on their scalp. The provider carefully observes the patient for any discomfort or issues related to the device. Once the session is finished, the provider removes the cooling device and concludes the cooling process.
  9. A provider places a mechanical cooling device on a patient’s scalp before starting a chemotherapy session. Throughout the session, the provider monitors the patient’s use of the device and ensures its proper functioning. Once the session is complete, the provider removes the cooling device.
  10. During a chemotherapy session, a provider assists a patient with the placement and monitoring of a mechanical cooling device on their scalp. The provider closely watches for any issues or discomfort experienced by the patient. After the session, the provider removes the cooling device and concludes the cooling process.

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