77301

Radiotherapy dose plan imrt

Add to my model
Code typePrimary
Payment statusActive (A)
Global periodNone

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary77301Radiotherapy dose plan imrt
1
$1,960.30
$1,960.30
Add-on77293Respirator motion mgmt simul
0
$401.81/ unit
$401.81/ unit
Whole procedure · 7.79 wRVU credited
$1,960.30
$1,960.30

RVU Breakdown

Component
Office
Facility
Work
7.79
7.79
Practice expense
50.20
50.20
Malpractice
0.70
0.70
Total RVU
58.69
58.69

Payment Policy & Modifiers

Allowed adjustments
Assistant surgeon -80/81/8216% · documented
Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.
Prof / tech split -26 / -TCSplit
Has professional (-26) and technical (-TC) components, each priced separately.
Not applicable to this code
Bilateral -50Multiple procedure Co-surgeon -62Team surgeon -66