How To Use CPT Code 76145

CPT 76145 describes the medical physics dose evaluation for radiation exposure that exceeds the institutional review threshold, including a report. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 76145?

CPT 76145 can be used to report the evaluation of radiation exposure by a medical physicist to determine if it exceeds the institutional review threshold. This code is used when the medical physicist performs a dose evaluation and provides a report on the radiation exposure received by the patient.

2. Official Description

The official description of CPT code 76145 is: ‘Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold, including report.’

3. Procedure

1. The medical physicist reviews the patient’s treatment chart and checks the data to ensure proper dosage of radiation.
2. They assess patient positioning, machine setup, and the effective utilization of devices such as molds, blocks, and linear accelerators.
3. The medical physicist evaluates safety measurements and other treatment parameters.
4. They perform a final chart check and validation of treatment.
5. The medical physicist provides a report on the radiation exposure and determines if it exceeds the institutional review threshold.

4. Qualifying circumstances

CPT 76145 is used when a medical physicist evaluates radiation exposure to determine if it exceeds the institutional review threshold. The threshold can vary depending on the site treated and the potential adverse effects of radiation exposure. The medical physicist’s evaluation may include reviewing patient treatment charts, checking data, assessing safety measurements, and validating treatment.

5. When to use CPT code 76145

CPT code 76145 should be used when a medical physicist performs a dose evaluation and provides a report on radiation exposure that exceeds the institutional review threshold. It is important to note that this code should not be used for routine dose evaluations that do not exceed the threshold.

6. Documentation requirements

To support a claim for CPT 76145, the medical physicist must document the following information:

• Review of the patient’s treatment chart
• Data verification for proper dosage of radiation
• Assessment of patient positioning, machine setup, and device utilization
• Evaluation of safety measurements and treatment parameters
• Final chart check and validation of treatment
• Report on radiation exposure and determination of threshold exceedance

7. Billing guidelines

When billing for CPT 76145, ensure that the medical physicist performs a dose evaluation and provides a report on radiation exposure that exceeds the institutional review threshold. It is important to follow the specific guidelines provided by the payer and to accurately document the necessary information. CPT code 76145 should not be reported with other codes unless specified by the payer.

8. Historical information

CPT 76145 was added to the Current Procedural Terminology system on January 1, 2021. There have been no updates to the code since its addition.

9. Examples

1. A medical physicist evaluates the radiation exposure of a patient who received treatment for a brain tumor and provides a report on the dose received.
2. A medical physicist reviews the treatment charts and assesses the radiation dosage for a patient undergoing radiation therapy for breast cancer.
3. A medical physicist performs a dose evaluation and provides a report on the radiation exposure of a patient receiving treatment for prostate cancer.
4. A medical physicist evaluates the radiation exposure of a patient who underwent radiation therapy for lung cancer and determines if it exceeds the institutional review threshold.
5. A medical physicist reviews the treatment parameters and assesses the radiation dosage for a patient receiving radiation therapy for head and neck cancer.
6. A medical physicist performs a dose evaluation and provides a report on the radiation exposure of a patient undergoing treatment for cervical cancer.
7. A medical physicist evaluates the radiation exposure of a patient who received treatment for liver cancer and determines if it exceeds the institutional review threshold.
8. A medical physicist reviews the treatment charts and assesses the radiation dosage for a patient undergoing radiation therapy for bone metastases.
9. A medical physicist performs a dose evaluation and provides a report on the radiation exposure of a patient receiving treatment for pancreatic cancer.
10. A medical physicist evaluates the radiation exposure of a patient who underwent radiation therapy for rectal cancer and determines if it exceeds the institutional review threshold.