%%EOF CMS is proposing significant cuts to radiation oncology services for 2021. To learn more, click here. Breast, Mammography CPT Codes 77051 - 77059. The process involved with radiation oncology billing is only further complicated when new guidelines or regulations are announced. 1165 0 obj <>stream 5 0 obj The process of care in radiation oncology provides a conceptual framework for coding and documenting care throughout the course of treatment. It's all here. endstream endobj startxref Billing errors can result in delayed reimbursements or denials, which extend the amount of time your radiation oncology practice is paid. If you have any questions, please reach out to your health plan. The 2023 ASTRO Coding Resource is now available for purchase. Radiation Oncology Please note: Adobe PDF Reader is required to view clinical guideline documents. The U.S. Department of Health and Human Services Office of Inspector General OIG lately conducted an inv Investigation included 55 million records from 2019. Accurate medical billing is critical for any health care practice to receive timely reimbursement and low insurance levels, but it is especially essential for radiation oncologists. The Healthcare Com Abdominal aortogram is generally used to study aorta region. If you registered for the ASTRO Coding and Coverage Seminar, you received both the print and eBook with purchase of full registration. Blue Cross and Blue Shield of North Carolina does not discriminate on the basis of race, color, national origin, sex, age or disability in its health programs and activities. Simulation is the process of defining relevant normal and abnormal target anatomy, and acquiring the images and data necessary to develop the optimal radiation treatment process. Modifier 59 is appropriate to represent a distinct procedural service for a different tumor on a different date of service, and unrelated to the IMRT plan. The majority of radiation oncology patients use Medicare B to assist in paying for their treatments. Consistent with Change Request (CR) 12120, Transmittal 10541, Internet Only . This code also includes those procedures done in preparation for use of coplanar therapy beams and, therefore, CPT codes 77280, 77285, and 77290 are not separately payable on the same date. Treatment delivery is reported using the following CPT codes: CPT codes. CHAPTER IX . H\j0EY& ?R0}P`KcGPBVB=kF#~n_Z==(rsaIS[m5 I vZ3:m&}=fh. Linked Apps. Objective: An introduction to physician coding for radiation oncology services. CPT CODES 70000 - 79999 . Copyright 2023 American Society for Radiation Oncology. Radiation Therapy Original Release Date: January 1, 2022 Updated: 5/23/2022 Note: AIM will covering these codes for Individual and Family Plans and Small Group Plans for the following states: Alabama, Arizona, Colorado, Florida, Illinois, Nebraska, North Carolina, Oklahoma, South Carolina . We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. What is it? .~Sv8{tl =(p&-+AUkO6^?sx E|!{;N,cI'VQI_yG^|n.o#G$$C{q)L3EXqBiA U.l"g\OYl|G OAXW oCdI3]K#'_u`N}yRue#Q;L4F@BF3:A!Lv'J^-e7S3"&+Mt?Sa_KU][qT*PVJg0E4?x%C(D+X}1Hu)*vdHcQjn|L'_A#bG|/(. Besides the complexity, radiation oncologists may feel as if theyre under more scrutiny since their specialty typically affords higher reimbursement rates. 77370 See coding : clarification Special medical radiation physics consultation . Radiation oncology billing can be a complex experience. );>),^^Uf(Pp8X"z1KaU;l[Nnhw\A{]L2kX~V=j Typical Coding for IMRT Course of Therapy Prof Comp Tech Comp 9924X - Initial Consult Yes No 1 77263 - Physicia n Plan Yes No Radiation oncology billing can be a complex experience. 2023 Blue Cross and Blue Shield of North Carolina. RADIATION ONCOLOGY CODING STANDARD Image Guidance CPT Codes: 77014, 77387, 77417 Original Date: April, 2011 Last Review Date : November,2020 Last Revised Date: May, 2018 Implementation Date: January 2021 Effective 2015 the American Medical Association (AMA) deleted CPT codes 76950, 77421 and 0197T. Become a member and receive career-enhancing benefits, Standards for Oncology Registry Entry (STORE v2022), Standards for Oncology Registry Entry (STORE v2021), Standards for Oncology Registry Entry (v2018), Registry Operations and Data Standards (ROADS). Radiologic Guidance CPT Codes 77001 - 77032. In addition, CPT codes 77280, 77285, 77290, 77295, 77306, 77307, 77321, 77331, and 77370, are not separately reimbursable when performed 30 days prior/after and the day of CPT code 77301 by the same group practice for the same member. Registry Operations and Data Standards (ROADS)Manuals implemented from 1996 through 2002. 71270: CT, thorax, diagnostic, without contrast material, followed by contrast material(s) and further sections. There may be instances in which your health plan policies take precedence over the eviCore healthcare clinical guidelines. To have services covered by Medicare, radiation oncologist practices must first be credentialed; after the credentialing process, the practice can bill Medicare for treatments. A course of radiation therapy treatment is comprised of a series of distinct activities of varying complexity and is a function of the individual patient situation. Collaborative Staging data collection and required reporting of benign and borderline intracranial and CNS tumors were both implemented in 2004. Clinical treatment planning services are reported using CPT codes 77261-77263. It includes information on updated CPT and HCPCS codes for 2023, updated content on radiopharmaceuticals, image guidanceand AI. 2021 oncology coding update accc cancer org web for radiation exposure that exceeds institutional review threshold including report added healthcare common procedure coding . CPT Code 77261 Use this code when the treatment is clearly defined and easily encompasses the tumor while excluding normal structures and tissue. In current clinical practice, simulation is performed with motion management to inform field and portal design with precise knowledge about the respiratory movement of target tissue and organs at risk. New Code Bundling Rules for Radiation Oncology Effective July 1, Health Plans for Individuals and Families, Get a Quote for Individual and Family Plans, Non-Discrimination Policy and Accessibility Services. The work involves acquisition and review of multiple additional CT images that allow for a full accounting of breathing-related tumor motion. Tasks performed. Image-guided radiation therapy (IGRT) is reported using the following CPT codes: Note that brachytherapy may have a different process of care that is not fully addressed within this document. Radiation treatment management represents the radiation oncologists professional contribution to patient management during the course of treatment. Proton beam treatment delivery: 77520-77525. Note that as of January 1, 2010, CMS has eliminated payment for office and inpatient consultation codes and providers are directed to report other appropriate E/M CPT codes. Skin laceration repair is an important skill in family medicine. The Centers for Medicare 038 Medicaid Services CMS issued April 10 the Inpatient Prospective Payment SystemLongTerm Care Hospital IPPSLTCH proposed rule for fiscal year FY 2024. SEER*Rx Interactive Drug DatabaseUse this resource to distinguish among chemotherapy, hormone therapy, and other systemic agents. Not all of these parameters of treatment management are completed each week (except for the patient examination) because the clinical course of care may differ due to variation in treatment modality and individual patient requirements. 77470 should not be billed routinely in connection with usual and . International Classification of Diseases for Oncology - Third Edition (ICD-O-3)This publication provides basic site and histology codes and coding rules. We use cookies to provide, secure and improve our services to you. Utilizing simulation equipment, the exact treatment position for the patient is defined. These services are covered following the same logic as Medical radiation physics, dosimetry, treatment devices, and special services. Bone/Joint Studies CPT Codes 77071 - 77084. Revision History Information . 'eUFmq8uXrS~ The goal of your medical practices presence in your community is to deliver great, high-quality care to your patients. Since radiation oncology generally has higher reimbursements per procedure due to the specialty, denials or delayed payments can add up and damage the financial stability of your practice. 0 Learn all about Radiation Oncology CPT Codes and Billing Coding Guidelines. More information about the IMRT policynoticecan be found on theMedical Policy Updatespage. Radiation treatment management is reported using the following CPT codes: 77427, 77431, 77432, 77435, 77469 and 77470. <> To learn more, click here. Neither code should bebilled routinely in connection with usual and customary services. What is it? It can be embryo or a non-viable fetus. According to CMS, this modifier is used appropriately for different anatomic sites during the same encounter only when procedures which are not ordinarily performed or encountered on the same day are performed on different organs, or different anatomic regions, or in limited situations on different, non-contiguous lesions in different anatomic regions of the same organ. endstream endobj 500 0 obj <>/Metadata 13 0 R/Outlines 17 0 R/Pages 497 0 R/StructTreeRoot 18 0 R/Type/Catalog>> endobj 501 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 502 0 obj <>stream 2022 Oncology Coding Update BY TERI BEDARD, BA, RT(R)(T), CPC C56.3: Malignant neoplasm of bilateral . With extra help from professionals who have expertise in radiation oncology billing, your practice can realize faster payments and spend more time delivering care to patients. Register Now, Ancillary and Specialty Benefits for Employees. hbspt.cta._relativeUrls=true;hbspt.cta.load(391461, '99954a8e-dee3-42c1-a2ac-cdab3c2b0f70', {"useNewLoader":"true","region":"na1"}); Since the implementation of ICD-10, healthcare groups have had to become far more diligent about their billing and coding procedures. Intraoperative Radiation Therapy (IORT): 77424-77425. %PDF-1.6 % IMRT is most often used when a tumor partially surrounds or is very close to a healthy part of your body that cannot tolerate the full dose of radiation that is being given to the tumor. CPT codes. Collaborative Stage Data Collection SystemThis resource provides the current and past manuals, and supplementary information. The outcome of the consultation will be to either recommend care for a specific condition or problem, or determine whether to accept responsibility for ongoing management of the patients entire care or for the care of a specific condition or problem. Learn CPT Code J3490 medicare reimbursement guidelines for drugs with unclassified NDC numbers. RADIATION ONCOLOGY CODING GUIDELINE Image Guidance CPT Codes: 77014, 77387, 77417 Original Date: April, 2011 Last Review Date : November,2021 Last Revised Date: November, 2021 Implementation Date: January 2022 Effective 2015 the American Medical Association (AMA) deleted CPT codes 76950, 77421 and 0197T. An experienced medical insurance billing firm like NCG Medical can use their knowledge of both hospital and private practice radiation oncology to help boost your bottom line by identifying missing revenue opportunities and remedying them. %PDF-1.4 The FTC proposes to ban noncompete clauses in employment contracts. CPT codes. ASTRO's annual Coding and Coverage Seminar is an excellent opportunity for those involved in the field of radiation oncology to gain more insight into CPT coding guidance, billing practices and the evolving challenges medical professionals face in the radiation oncology field today. In addition,CPT codes 77280, 77285, 77290, 77295, 77306, 77307, 77321,77331,and 77370,are not separately reimbursable when performed30 days prior/afterandthe day ofCPT code 77301 by the same group practice for the same member. ALL RIGHTS RESERVED. Diagnostic Radiology CPT Codes 70000 - 76499, Diagnostic Ultrasound CPT Codes 76500 - 76999, Radiologic Guidance CPT Codes 77001 - 77032, Breast, Mammography CPT Codes 77051 - 77059, Bone/Joint Studies CPT Codes 77071 - 77084, Radiation Oncology CPT Codes 77261 - 77999, Nuclear Medicine CPT/HCPCS Codes 78000 79999. Image-guided radiation therapy (IGRT): 77387, G6001, G6002, G6017 and 77014. Simulation may be performed more than once during a course of treatmente.g., in some brachytherapy circumstances, it can be twice per day. Ycv#~0?7ff&+ Its important to remember that treatment planning is a one-time charge per course of therapy. The blood test distributor agrees to pay 195000 to settle allegations that it violated the FCA. These include: Intensity-Modulated Radiation Therapy (IMRT) is used routinely in the treatment of prostate cancer, head and neck cancers, gastrointestinal and gynecologic cancers, lung cancers, and brain tumors, and more. Conventional external beam radiation treatment delivery: 77401-77416 and G6003-G6014. 77469 IO RADIATION TX MANAGEMENT 77469, 19294 RAD . Medical radiation physics, planning, dosimetry, treatment devices, and special services are reported using: 77295, 77300, 77331, 77301, 77338, 77306-77307, 77316-77318, 77321, 77332-77334, 77336 and 77370. %%EOF Nuclear Medicine CPT/HCPCS Codes 78000 - 79999. Tasks performed. In August, the AMA will provide an early release of the downloadable version of the CPT 2021 codebook from the AMA Bookstore. 2015; Chapter 15. For radiation oncology practices to successfully compete in the healthcare industry, an effective medical billing process is essential. This phase in the process of care includes clinical treatment planning and simulation services. Privacy Policy CPT codes. Please read our Comments Policy for details. The radiation oncology process of care can be separated into the following six categories: A high-level overview of radiation oncology coding is provided as an introduction to physician coding for radiation oncology services. These codes maynot be billed separately if they are performed as part of developing an IMRT treatment plan,whetherthey are billed on the same or different date of service (CMS Manual, chapter 4, 200.3.1 and 200.3.2). The Current Procedural Terminology (CPT) code range for Radiation Oncology Treatment 77261-77799 is a medical code set maintained by the American Medical Association. CPT codes. Simulation All rights reserved. Follow-up care management Follow-up care is the last phase in the process of care for a radiation therapy patient. RADIOLOGY SERVICES . ICD-O-3 coding for site and morphology was adopted in 2001. Modifier 59 is appropriate to represent a distinct procedural service for a different tumor on a different date of service, and unrelated to the IMRT plan. 526 0 obj <>stream 2023ASTRO Radiation Oncology Coding Resource Bundle, 2023ASTRO Radiation Oncology Coding Resource eBook. endstream endobj 251 0 obj <>/Metadata 15 0 R/Pages 248 0 R/StructTreeRoot 26 0 R/Type/Catalog>> endobj 252 0 obj <. 516 0 obj <>/Filter/FlateDecode/ID[<924A48415B435D49BB61F65565C1FD3A>]/Index[499 28]/Info 498 0 R/Length 86/Prev 56389/Root 500 0 R/Size 527/Type/XRef/W[1 2 1]>>stream ;LzB1?~w*`\aS^&.l6|\< ^?o]^FQu-. To provide the most efficient medical billing experience and reduce the chances of fines, your radiation oncology practice needs to adhere to them. . What is it? endstream endobj startxref The clinical team, led by the radiation oncologist, provides the medical services associated with the process of care. NAACCR 2003 Implementation Work Group: Guidelines and Recommendations, NAACCR Guidelines for ICD-O-3 Implementation. 499 0 obj <> endobj Radiation treatment is delivered using either a type of external beam radiation or brachytherapy, and includes various methods, modalities, and complexities. Whole fractions starting on 11/18/2021 and ending on 10 Rad to Nodes 00 No Radiation to Nodes 11/27/2021. g]yvLo23~17z_Sp*3@8O Diagnostic Radiology CPT Codes 70000 - 76499. The Current Procedural Terminology (CPT) code range for Radiation Oncology Treatment 77261-77799 is a medical code set maintained by the American Medical Association. The planning stage is a very important phase in the process of care. SEER Summary Stage 2000 was applicable beginning in 2001, and was replaced by Collaborative Staging in 2004. Medicare will not pay for routine follow-up care during the three months after completion of external beam therapy, since this is considered part of the treatment management. Aug 2021 - Present 1 year 9 months. Case in point effective July 1, 2021, new code bundling guidelines are expected to be followed for radiation oncology practices. Contact them today and transform your radiation oncology practice! Facility Oncology Data Standards (FORDS)Manuals implemented from 2003 through 2017. For the radiation oncologist, radiation treatment management requires and includes a minimum of one examination of the patient by the physician for medical evaluation and management. NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL . Revision Date (Medicaid): 1/1/2021 . Not only would this result in a damaged reputation for your practice, but it could find you violating the Federal Civil False Claims Act, which carries fines of thousands of dollars per claim. Our top priority is providing value to members. NAACCR Guidelines for Implementation of SEER Summary Stage 2000. The radiation oncologist bills CPT code 77470 when the complexity of the radiation therapy treatment plan is such that significant additional time and effort are required to deliver treatment effectively and when such time and effort are not included in another CPT code. . hbbd``b`a KS 1 h $#AJtD:`L,AJI[ p + While all medical billing needs to be accurate to prevent reimbursement delays and insurance denials, too many denied Medicare or Medicaid claims can result in state and federal regulators conducting an audit on your practice for suspected fraud or abuse. NIA MAGELLAN HEALTH RADIATION ONCOLOGY CODING STANDARD Simulations CPT Codes: 77280, 77285, 77290 Original Date: April, 2011 Last Review Date: November,2020 Last Revised Date: January,2017 Implementation Date: January,2021 Simulation Code: 77280, 77285, 77290 Professional and Technical Initially rejected claims can take up to twice the amount of time to process and resolve errors, which reduces the amount of time your radiation oncology practice can spend on delivering care to your patients. hbbd``b`:$@ $$@,]aX \.$I b``$@ u ' The American College of Surgeons website is not compatible with Internet Explorer 11, IE 11. Using oncology CPT codes for multiple treatment plans for a single course of therapy can result in denials. The CTR Guide to Coding Radiation Therapy in STORE is now available in the STORE 2023 Appendix R. These changes apply to the following lines of business:Administrative Services Only (ASO groups), fully insured membership, Blue Card IPP Host, and State Health Plan (SHP). What is it? hb``b``Zh B@16 @ -H, Proton Beam Treatment Delivery (CPT codes 77520, 77522, 77523, and 77525) 1147 0 obj <>/Filter/FlateDecode/ID[<9DCAF4D8176906439F8B0B2EA63493E8>]/Index[1134 32]/Info 1133 0 R/Length 75/Prev 256068/Root 1135 0 R/Size 1166/Type/XRef/W[1 2 1]>>stream Radiation Oncology is a specialty that involves treatment of various forms of Cancer through radiation. Multiple Primary and Histology Coding RulesRefer to these rules for coding cases with multiple tumors or multiple histologies involved. Simulation services are reported using CPT codes 77280-77290. In sim ICD-10 codes for Major depression, Moderate depression, Postnatal depression and Postnatal depression from October 2015 will be specify used Cystography is performed to study the lower urinary tract. hb```a``a`f`` l@Y' The Coding Resource is an essential coding reference for all radiation oncology practices. Fraud and Abuse Standards for Oncology Registry Entry (STORE v2022)Manual Implemented 2022, Standards for Oncology Registry Entry (STORE v2021)Manual Implemented 2021. CPT codes. 4 coding guidelines web diagnostic radiology cpt codes 70000 76499 A. NAACCR 2013 Implementation Guidelines and Recommendations, Data changes to be implemented in 2013, including new country codes (rather than storing them in state code fields) and provisions for recording ICD-10-CM Secondary Diagnoses, NAACCR 2010 Implementation Guidelines and Recommendations, New and converted data items introduced in 2010, change in date transmission format and new date flags, Collaborative Stage version 2, expanded Class of Case, NAACCR 2007 Implementation Guidelines and Recommendations, Implementation of the new Multiple Primary and Histology rules, National Provider Identifiers, NAACCR 2006 Implementation Guidelines and Recommendations, New data items Systemic/Surgery Sequence, Comorbidities and Complications #710, and ICD Revision Comorbidities and Complications and conversion of Primary Payer at Diagnosis, NAACCR 2004 Implementation Guidelines: Collaborative Staging and Benign/Borderline Intracranial and CNS Tumors. Use CPT code 77295 to report 3-dimensional radiothreapy plan, including dose-volume histogram. Technical Information updated code bundling guidelines for radiation oncology billing web sep 15 2021 in line with the american society for radiation oncology . The Drummond Certified certification seal is for software solutions which have been tested and certified for complete and modular electronic health records (EHR) testing under the Drummond Certified program. Tasks performed. Site Map The physician is responsible for verification and documentation of the accuracy of treatment delivery as related to the initial treatment planning and setup procedure. Why Does Accurate Medical Billing Matter for Radiation Oncology Practices? %PDF-1.6 % hb``` ea5g\>&`H'n& \9a3H51Y mQ` * Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. Delivery codes are normally used each day of treatment, in some instances twice a day. By using this site, you agree to ASTROs Privacy Policy and Terms of Use. Weve got the highlights here for you to keep you informed of the latest trends and news related to radiation oncology billing. It typically includes inverse planning, and features numerous . Forgot User ID? Diagnostic Ultrasound CPT Codes 76500 - 76999. endstream endobj 503 0 obj <>stream Denied claims also require time and energy to be contested and resolved. MP&xf,o;/w_Oo6~hs7q{cC-wz{Y"+UVf$5i'ykuE_Oa?n&tQhof&)g0=+xAKHHluw"B7+v2+sidgm+L7-Ff_4Y _[qc6YaJ,uGhpp)mE/~~\ch)M[W ]m b};'Qw[h2khg/tmqt`0 bmaj#spV!dca,Cc4aayKc85viAY$7umodN\p A>0!r^"IBBiHkaM=rr .Ya8 }9v"KRF\V|QogrcK+sW@31K5gTr7] According to the Centers for Medicare and Medicaid Services (CMS), CPT 77280, 77285, 77290, 77295, 77306, 77307, 77321,77331, and77370are considered inclusive to code 77301. 284 0 obj <>/Filter/FlateDecode/ID[<05B322DE47DEA5429B59DA9662034447>]/Index[250 63]/Info 249 0 R/Length 147/Prev 434296/Root 251 0 R/Size 313/Type/XRef/W[1 3 1]>>stream Documentation of the size, angle, distance, and other working parameters are recorded during simulation. Current Procedural Terminology codes are numbers (Codes) commonly Small medical practices are facing the enormous challenge of fulfilling all the demands that come with medical billing and coding field. Refer to Billing and Coding: Intensity Modulated Radiation Therapy (IMRT), A56725, for applicable CPT/HCPCS codes and diagnosis codes. UcCg: H1z H+ "X_XO=x:[o0;F ~a4H6yK%sZ~n`w @ =/ Copyright 2023 NCG Medical - 800.959.1906, Updated Code Bundling Guidelines for Radiation Oncology Billing. 11 Modality 02 External Beam, Photons 12 Planning Technique 06 Stereotactic radiotherapy, The . The physician, with the assistance of a qualified medical physicist, prescribes, supervises, designs, reviews, and clinically confirms all aspects of each activity in this phase of care. In line with the American Society for Radiation Oncology (ASTRO), CPT code 77301, which represents the Intensity-Modulated Radiation Therapy (IMRT), also includes other related radiation therapy services performed as part of the development of the IMRT plan. Many radiation oncologists struggle with the billing process, including the billing and coding guidelines that ensure a smooth reimbursement process. 01/01/2021 R9 LCD revised and published on 02/25/2021 effective for dates of service on or after 01/01/2021. According to Table 90 below, the impact on radiation oncology is a combined reduction of 6 percent. Continued care is appropriately provided by the radiation oncologist to monitor the patient for tumor recurrences. Use CPT code 77370 for special medical radiation physics consultation when a problem or special situation arises during radiation therapy. Webmaster reserves the rights to edit/remove comments that is found irrelevant, offensive, contain profanity, serves as spam or attempts to harbor irrelevant links. Radiation physics services (CPT codes 77300-77334, 77399) include a professional component (PC) and a technical component (TC). Clinical Treatment Planning Each port or field is visualized in reference to the proper landmarks. This code requires a detailed written report describing the problem to be given to the requesting physician. Neurosurgery Coding Guidelines For . Obviously, the type of care might be different from patient Stay in-the-know on trends, best practices, and news affecting the medical billing industry! Coding Companion for Neurosurgery/Neurology 2021 - 2020-12 ICD-9-CM Official Guidelines for Coding and Reporting - 1991 2001 Current Procedural Terminology (CPT) Code Book - American Medical . What is it? Stereotactic Body Radiation Therapy (SBRT) CPT Codes 77373, 77435. RADIATION THERAPY SERVICES JANUARY 2021 CPT ONLY - COPYRIGHT 2018 AMERICAN MEDICAL ASSOCIATION. . CPT is a registered trademark of the American Medical Association. 71260: CT, thorax, diagnostic, with contrast material. Revised Radiology Codes: Computed Tomography, Thorax 71250: Computed tomography (CT), thorax, diagnostic, without contrast material. Standards for Oncology Registry Entry (v2018)Manual implemented from 2018 through 2020. CPT Code 77301 Update CPT codes. Case-Finding ListsThis resource provides lists compiled by SEER and recommended for use by the Commission on Cancer (CoC). Learn more about our non-discrimination policy and no-cost services available to you. Detail-oriented medical billing and coding specialist with strong ability to work independently and problem solve. 3 AvMed Radiation Oncology Utilization Review Matrix 2021 CPT Codes Requiring Authorization Description Allowable Billed Groupings 77407 Treatment Deliveries - EBRT > 1 MeV; intermediate 77402, 77407, 77412, G6003, G6004, G6005, G6006, G6007, G6008, G6009, G6010, G6011, G6012, G6013, G6014