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2025 CPT code 77772

Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy; over 12 channels.

Consult the official CPT manual for the most up-to-date coding guidelines.Pay close attention to the instructions related to the use of this code, particularly concerning the number of channels.

Modifiers may be applicable depending on the specific circumstances of the procedure. Refer to the CPT codebook and relevant payer guidelines for modifier usage.

Medical necessity is established by the presence of a malignancy requiring brachytherapy, and the selection of this specific procedure (77772) is justified by the need for more than 12 channels for optimal treatment coverage.

The therapeutic radiologist is responsible for the supervision of radioelements, dose interpretation, and overall management of the brachytherapy procedure.This includes the initial consultation, treatment planning, simulation, medical radiation physics, dosimetry, treatment devices, special services, and clinical treatment management.

IMPORTANT:Do not report 77772 with 77300, 0394T, 0395T, 77767, 77768, 77770, or 77771.For single-channel procedures, use 77770. For 2-12 channels, use 77771. For skin surface treatments, use 77767-77768.

In simple words: This code describes a type of radiation therapy where a doctor places thin tubes (catheters) into or near a tumor.A radioactive material is then delivered through these tubes to treat the cancer. This specific code applies when more than 12 tubes are used.

This CPT code, 77772, represents remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy involving more than 12 channels.The procedure includes the placement of catheters within cancerous tissue (interstitial) or a body cavity (intracavitary). These catheters are loaded with a high-energy radioactive substance to treat tumors.Basic dosimetry calculations are included in this code.

Example 1: A patient with cervical cancer undergoes remote afterloading high dose rate brachytherapy with 15 channels placed within the cervix and parametrium to deliver a targeted high dose of radiation to the tumor., A prostate cancer patient receives brachytherapy with 18 channels implanted into the prostate gland using a remote afterloading system. The treatment plan is carefully designed to minimize radiation exposure to surrounding organs., A patient diagnosed with recurrent rectal cancer requires brachytherapy with 20 channels to treat the tumor site.Careful dosimetry calculations are performed to ensure optimal radiation delivery with minimal side effects.

Comprehensive documentation should include:patient demographics, diagnosis, treatment plan, number of channels used, radioactive source specifics,dose calculations, imaging studies (pre- and post-treatment), and any complications or adverse events.

** Always verify the number of channels used during the procedure.Accurate documentation is crucial for correct coding and reimbursement.

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