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Rocksylight Private Leaks #9e4

47685 + 366 OPEN

We are billing cpt 77402 with 8 units (uos), because our dr

Is doing each site 2x (2 fx's i think it's called?), 90kv is the modality, fx dose is 130, so the daily dose is 260 per site I've read the description of cpt 77402 and it says single treatment area, and i think that cpt 77412 might be better since it says 3 or more treatment areas. 77402 radiation treatment delivery, >1 mev These entities report hcpcs level ii codes for 2015. Existing radiation treatment delivery codes 77402, 77407, and 77412 are revised to represent levels 1, 2, and 3, with guidance and motion management bundled as part of delivery when performed. I have been fighting with humana for a couple months now as they are denying several of our 77427 as bundled although there are no cci edits on the claim

We did not have this problem previously, it just started a couple months ago and we are billing with a date span

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