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2025 CPT code 77014

Computed tomography guidance for placement of radiation therapy fields.

Modifiers can be applied to indicate specific circumstances, such as reduced services (52) or distinct procedural services (59).

Medical necessity is established by the need for precise radiation therapy planning to target the tumor and spare healthy tissue.

The imaging technologist positions the patient, administers contrast if needed, and operates the CT scanner. A physician interprets the images to plan the radiation therapy.

IMPORTANT:(For placement of interstitial device(s) for radiation therapy guidance, see 31627, 32553, 49411, 55876)

In simple words: This procedure uses a CT scan to help doctors accurately aim radiation beams during cancer treatment.It helps them target the tumor while avoiding healthy tissues.

Computed tomography (CT) guidance is used to precisely target radiation therapy fields.The patient lies on a table that moves through the CT scanner.The scanner produces narrow X-ray beams that pass through the body. Different tissues absorb varying amounts of X-rays, and detectors measure this absorption.A computer program then creates cross-sectional images, which are interpreted by a radiation oncologist to determine the exact area needing treatment and the healthy tissue to be shielded.

Example 1: A patient with lung cancer needs precise targeting for radiation therapy.A CT scan is used to guide the placement of the radiation beams., A patient with prostate cancer undergoes CT guidance to determine the optimal radiation field for treatment., A patient with a brain tumor requires CT guidance to ensure accurate delivery of radiation, minimizing damage to surrounding brain tissue.

Documentation should include the reason for the CT guidance, the area of the body scanned, the interpretation of the images, and the plan for radiation therapy.

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