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BETA v.3.0

2025 CPT code 77762

Intracavitary radiation source application; intermediate.

Use 77761 for 1-4 sources, and 77763 for more than 10 sources.Modifiers may be applicable to indicate reduced services (52), professional component (26), or technical component (TC). Specific payer guidelines should always be consulted.

Modifiers 22 (increased procedural services), 26 (professional component), 52 (reduced services), 53 (discontinued procedure), and 59 (distinct procedural service) may be applicable.

Medical necessity is established by the diagnosis of a malignancy requiring radiation therapy, and the determination that intracavitary brachytherapy is the appropriate treatment approach. Factors such as tumor size, location, and patient health influence this decision.

The physician performing this procedure is responsible for the safe and accurate placement of the radioactive sources, ensuring appropriate dosage and monitoring the patient for any adverse effects.

In simple words: This procedure involves placing 5-10 small radioactive sources inside a body cavity to treat cancer. The sources are placed near the tumor, and imaging may be used to ensure they are in the right spot.The sources are usually left in place for a short time.

This code represents the placement of five to ten radioactive sources within a body cavity (e.g., vagina, prostate, lungs) to treat cancer.The procedure involves inserting radioactive implants, such as seeds or ribbons, near the tumor site. Image guidance may be used for precise placement. The implants are typically left in place for a specified period.

Example 1: A patient with cervical cancer undergoes intracavitary brachytherapy with 7 radioactive sources placed in the vaginal canal., A patient with prostate cancer receives brachytherapy with 9 radioactive seeds implanted directly into the prostate gland., A patient with lung cancer has 6 radioactive ribbons placed within the bronchial tubes to deliver targeted radiation therapy.

Documentation should include the number and type of radioactive sources used, their placement location, the dose delivered, and any imaging guidance used. The medical necessity of the procedure must also be documented, including the diagnosis and treatment plan.

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