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2025 CPT code 77417

Therapeutic radiology port image(s).

* Port films are reported once per five fractions or once per week, per patient, even if multiple images of multiple ports are taken.* Code 77417 is a technical component only code; modifier 26 or TC should not be appended.* Refer to CPT guidelines for radiation oncology for additional details.

Modifiers are not typically applied to 77417, as it represents a technical component only.

Port films are medically necessary to ensure the accuracy of radiation therapy treatment delivery.They help verify that the radiation beam is correctly positioned and shaped to target the tumor while minimizing damage to surrounding healthy tissues. This is crucial for optimal treatment effectiveness and minimizing side effects.

The provider (radiation therapist) takes special X-rays (port films) using the treatment machine's beam. These images verify the treatment area's precise shape, size, and coverage by the radiation beam to ensure correct positioning during treatment.

IMPORTANT:For intensity modulated treatment planning, use 77301.

In simple words: Special X-ray pictures, called port films, are taken during radiation treatment to make sure the radiation is aimed correctly at the tumor.

Therapeutic radiology port films are X-ray images, typically taken by a radiation therapist, of the treatment area.The provider uses these films to show the precise shape, size, and area covered by the treatment beam during radiation therapy, ensuring accurate positioning.

Example 1: A patient undergoing external beam radiation therapy for lung cancer. Port films are taken weekly to verify beam placement and adjust for any tumor movement or changes in anatomy., A patient receiving intensity-modulated radiation therapy (IMRT) for prostate cancer. Port films are acquired after each fraction to ensure the radiation beam conforms precisely to the target area., A patient with head and neck cancer undergoing image-guided radiation therapy (IGRT). Port films are used in conjunction with other imaging modalities (CT or MRI) to confirm accurate target localization and to correct for any patient motion.

* Physician's order specifying the need for port films.* Documentation of the date and time of each port film acquisition.* Indication of the treatment fraction number.* Identification of the specific port(s) imaged.* Clear correlation between the port films and the treatment plan.

** This code describes the technical component of obtaining port films only.Any professional component related to interpretation and medical decision making should be reported separately using appropriate E/M codes.

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