How do I bill my SBRT?
Coding Question: What are the appropriate planning codes that may be billed for SRS or SBRT treatments? Coding Answer: For SRS and SBRT with forward planning, it is appropriate to bill CPT codes 77290 (simulation), 77295 (planning), and CPT either 77371/77372 (single fraction delivery) or 77373 (multifaction delivery).
What is SBRT planning?
SBRT planning techniques. SBRT is a high-precision radiotherapy technique that utilizes the high doses of radiation in a single fraction or a few fractions, as mentioned in the above sections. In principle, three-dimensional conformal radiotherapy (3D-CRT) planning can be applied to SBRT.
What does SBRT mean in radiation therapy?
Overview. Stereotactic body radiotherapy (SBRT) is a precise, high-dose form of radiation therapy that allows physicians to treat cancer in just one to five treatments, rather than the multiple doses over many weeks required in conventional radiation.
How many fractions is SBRT?
Introduction: At our institution, stereotactic body radiotherapy (SBRT) has commonly been prescribed with 50 Gy in 5 fractions and in select cases, 50 Gy in 10 fractions. We sought to evaluate the impact of these 2 fractionation schedules on local control and survival outcomes.
What is the CPT code for stereotactic radiosurgery?
Note: Providers are reminded to refer to the long descriptors of the CPT codes in their CPT book.
| Code | Description |
|---|---|
| 77372 | Srs linear based |
| 77373 | Sbrt delivery |
| 77432 | Stereotactic radiation trmt |
| 77435 | Sbrt management |
How often can CPT 77336 be billed?
Code 77336 may be billed once for a complete course of therapy only consisting of one or two fractions. Code 77336 is not reported when there is only a single fraction in the brachytherapy course, such as a prostate seed implant.
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.
Can SBRT be repeated?
Repeat SBRT appears to be a relatively safe treatment in patients not developing grade 2 or higher radiation pneumonitis after their first SBRT, although grade 5 toxicities have been reported especially in patients with a central tumor. Patients with local recurrence still have a chance of cure by repeat SBRT.
How many times can you have SBRT?
SBRT is used to treat lung tumors that are small and only in your lungs. It can also be used to treat cancer that has spread to your lungs from another part of your body. SBRT is usually given in 1 to 8 treatments.
What type of radiation is used in SBRT?
Stereotactic body radiotherapy machines use many precisely focused radiation beams to treat tumors and other problems all over the body. Linear accelerator (LINAC) machines use X-rays (photons) to treat cancerous and noncancerous abnormalities in the brain and other parts of the body.