How To Use CPT Code 77407

CPT 77407 describes the delivery of radiation treatment to a specific area using a minimum energy level of one MeV. 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 77407?

CPT 77407 can be used to describe the technical component of a radiation treatment delivery procedure. It involves the delivery of radiation to a treatment area using a minimum energy level of one MeV. The treatment may include two different treatment areas, each with three or more ports aimed at the area, and three or more blocks to shield healthy tissue from radiation.

2. Official Description

The official description of CPT code 77407 is: ‘Radiation treatment delivery, >/=1 MeV; intermediate.’ This code represents the technical component of an intermediate level radiation treatment delivery, where the provider delivers radiation to a treatment area using a minimum energy level of one MeV. The treatment may involve two different treatment areas, each with three or more ports aimed at the area, and three or more blocks to shield healthy tissue from radiation.

3. Procedure

1. The provider places the patient on a table and delivers a radiation beam to the targeted body area using an external source of radiation.
2. The provider may use various techniques to deliver the radiation, including external beam radiotherapy with a linear accelerator.
3. The treatment involves two different treatment areas, each with three or more ports aimed at the area, and three or more blocks to shield healthy tissue from radiation.

4. Qualifying circumstances

CPT 77407 is used for radiation treatment delivery procedures that involve a minimum energy level of one MeV. The treatment may include two different treatment areas, each with three or more ports aimed at the area, and three or more blocks to shield healthy tissue from radiation. This code should not be reported in conjunction with CPT code 77373.

5. When to use CPT code 77407

CPT code 77407 should be used when the provider delivers radiation treatment to a specific area using a minimum energy level of one MeV. This code is appropriate for procedures that involve two different treatment areas, each with three or more ports aimed at the area, and three or more blocks to shield healthy tissue from radiation.

6. Documentation requirements

To support a claim for CPT 77407, the provider must document the following information:

• Patient’s diagnosis and the need for radiation treatment
• Specific treatment areas targeted and the number of ports used
• Number of blocks used to shield healthy tissue from radiation
• Date and duration of the treatment
• Signature of the provider delivering the treatment

7. Billing guidelines

When billing for CPT 77407, ensure that the procedure meets the qualifying circumstances, including the minimum energy level of one MeV and the use of two different treatment areas, each with three or more ports aimed at the area, and three or more blocks. Do not report CPT 77407 in conjunction with CPT code 77373. Consider using CPT code 77402 for procedures involving a single treatment area and fewer ports and blocks, or CPT code 77412 for procedures involving three or more treatment areas, specialized blocking, and variations in types of ports and angles of delivery.

8. Historical information

CPT 77407 was added to the Current Procedural Terminology system on January 1, 1991. There have been several code changes since its addition, with the most recent change occurring on January 1, 2020, when the description was updated to ‘Radiation treatment delivery, >/=1 MeV; intermediate.’

9. Examples

1. A radiation oncologist delivering radiation treatment to a patient with breast cancer using a minimum energy level of one MeV, targeting two different treatment areas with three or more ports, and using three or more blocks to shield healthy tissue.
2. A radiation therapist administering radiation treatment to a patient with prostate cancer, delivering the treatment to two different treatment areas with three or more ports, and using three or more blocks to protect surrounding tissue.
3. A radiation oncologist treating a patient with lung cancer, delivering radiation to two different treatment areas with three or more ports, and using three or more blocks to minimize radiation exposure to healthy tissue.
4. A radiation therapist providing radiation treatment to a patient with head and neck cancer, targeting two different treatment areas with three or more ports, and using three or more blocks to protect critical structures.
5. A radiation oncologist delivering radiation treatment to a patient with cervical cancer, using a minimum energy level of one MeV, targeting two different treatment areas with three or more ports, and using three or more blocks to shield healthy tissue.
6. A radiation therapist administering radiation treatment to a patient with brain tumor, delivering the treatment to two different treatment areas with three or more ports, and using three or more blocks to protect surrounding tissue.
7. A radiation oncologist treating a patient with rectal cancer, delivering radiation to two different treatment areas with three or more ports, and using three or more blocks to minimize radiation exposure to healthy tissue.
8. A radiation therapist providing radiation treatment to a patient with esophageal cancer, targeting two different treatment areas with three or more ports, and using three or more blocks to protect critical structures.
9. A radiation oncologist delivering radiation treatment to a patient with pancreatic cancer, using a minimum energy level of one MeV, targeting two different treatment areas with three or more ports, and using three or more blocks to shield healthy tissue.
10. A radiation therapist administering radiation treatment to a patient with liver cancer, delivering the treatment to two different treatment areas with three or more ports, and using three or more blocks to protect surrounding tissue.