Ακτινοθεραπευτική Ογκολογία & Παθολογική Ογκολογία

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Beverly Parker
5 years ago
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1 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family. 1,26 Πρώτη επίσκεψη (Consultation) Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 20 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 30 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 45 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 60 minutes face-to-face with the patient and/or family. 2,12 3,05 4,65 5,85 Page 1 of 10

2 Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services. 0,61 Επιπρόσθετη επίσκεψη (Follow-up consultation) Follow up in the absence of any disease-related problems Folow up in the presence of problems requiring a longer consultation Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 10 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Physicians typically spend 15 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 25 minutes face-to-face with the patient and/or family. Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 40 minutes face-to-face with the patient and/or family. 1,24 2,06 3,04 4,10 Evaluation of histology, imaging and other tests in order to inform the patient about the treatment options/ treatment benefits and side effects Page 2 of 10

3 1 Diagnostic fine needle aspiration of lumps/enlarged lymph nodes/other masses Fine needle aspiration; without imaging guidance 3,47 Fine needle aspiration; with imaging guidance 4,00 Page 3 of 10

4 Diagnostic aspiration from the thoracic/ abdominal/ other body cavities Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance 5,56 2 Evaluations +/- Invasive outpatient procedures: Aspiration (diagnostic) of pleural/ abdominal or other body cavity collection (e.g. abscess) Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance 8,40 Insertion of indwelling tunneled pleural catheter with cuff 20,21 Puncture aspiration of abscess, hematoma, bulla, or cyst Evaluations +/- Invasive outpatient procedures: Insertion 3,71 of Paracentesis catheter for drainage of fluid from body Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, cavity management of ascites), complete procedure, including imaging guidance, catheter placement, 38,71 3 Bone marrow aspiration biopsy Bone marrow; aspiration only 4,84 4 Bone marrow trephine biopsy Bone marrow; biopsy, needle or trocar 4,36 5 Lumbar puncture - diagnostic Spinal puncture, lumbar, diagnostic 4,51 6 Electrocardiogram Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 0,24 Radiation planning activities (Technical) * 7 Radiation treatment plan for methods: Superficial radiotherapy with KV energies Radiation treatment plan for methods: Electron radiotherapy Radiation treatment plan for methods: Whole skin electron radiotherapy Creation and submission of External Beam therapy plan for radiation alone (or in combination with systemic anticancer therapy) for malignant disease with establishment of the indications and description Therapeutic radiology treatment planning; simple 2,03 Therapeutic radiology treatment planning; intermediate 3,06 Therapeutic radiology treatment planning; complex 4,74 Special teletherapy port plan, particles, hemibody, total body 2,68 Page 4 of 10

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6 8 Creation and submission of Brachytherapy plan Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources, or remote afterloading brachytherapy, 1 channel), includes basic dosimetry calculation(s) Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources, or remote afterloading brachytherapy, 2-12 channels), includes basic dosimetry calculation(s) Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources, or remote afterloading brachytherapy, over 12 channels), includes basic dosimetry calculation(s) Therapeutic activities 5,43 7,08 10,23 9 Planning techniques for external beam radiotherapy (EBRT) *: Using simulator only Therapeutic radiology simulation-aided field setting; simple 7,98 Therapeutic radiology simulation-aided field setting; intermediate 13,03 Therapeutic radiology simulation-aided field setting; complex 14,96 10 Planning techniques for external beam radiotherapy (EBRT) *: Using CT and three dimensional (3D) computer generated plan - plain technique Planning techniques for external beam radiotherapy (EBRT) *: Using CT and three dimensional (3D) computer generated plan - conformal technique Therapeutic radiology simulation-aided field setting; 3-dimensional 14,14 11 Planning techniques for external beam radiotherapy (EBRT) *: With the IMRT method (Intensity-Modulated Radiation Therapy) including stereotactic radiotherapy Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications 56,48 12 External beam radiotherapy (EBRT) ** & ***: with KV Radiation treatment delivery, superficial and/or ortho voltage 0,71 13 External beam radiotherapy (EBRT) ** & ***: with Linear accelerator (3-D Technique (also stereotactic, fractionated radiation of brain lesions) and/or large fields radiation and/or hemi-body radiation) Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions 39,52 Page 6 of 10

7 14 15 External beam radiotherapy (EBRT) ** & ***: with Linear accelerator (whole body) External beam radiotherapy (EBRT) ** & ***: with Linear accelerator (whole skin) Brachytherapy ** & ***: Mould Therapy (using encapsulated radionuclides for internal and external body surfaces) Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral or endocavitary irradiation) Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) 3,89 3,69 16 Brachytherapy ** & ***: Intracavitary / intraluminal radiotherapy Intracavitary radiation source application; simple 11,25 Intracavitary radiation source application; intermediate 14,91 Intracavitary radiation source application; complex 21,33 17 Brachytherapy ** & ***: Interstitial radiotherapy Interstitial radiation source application; complex 23,62 Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic 2,27 18 therapy ** & ***: Bolus administration (Parenterally: i.v., i.m., s.c.; e.g. Cyclophosphamide, Vinca-alkaloids) Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic 0,87 Chemotherapy administration; intravenous, push technique, single or initial substance/drug 3,10 Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure) 1,66 Page 7 of 10

8 19 therapy ** & ***: More than one hour and up to two hours (e.g. Oxaliplatin) therapy ** & ***: More than two hours and up to four hours (e.g. Carboplatin-Paclitaxel) therapy ** & ***: More than four hours and up to eight hours (e.g. outpatient Cisplatin) therapy ** & ***: Up to one hour (e.g. Carboplatin singleagent) Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) 4,02 0,88 20 therapy ** & ***: More than eight hours (e.g. 48-hour infusion of 5-Fluorouracil administered as outpatient via Porta-cath) Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump 4,09 21 therapy ** & ***: Lumbar puncture chemotherapy Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture 5,19 22 therapy ** & ***: Ommaya reservoir Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agents 3,79 Page 8 of 10

9 Supportive treatment *** procedures: Transfusion of blood (e.g. packed red cells, whole blood) procedures: Transfusion of blood products (e.g. platelets, fresh frozen plasma, coagulation factors) procedures: Administration of intravenous (i.v.) fluids Transfusion, blood or blood components 1,00 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,32 Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure) 0,39 25 procedures: Administration of i.v. antibiotics and other Parenterally administered supportive care drugs (e.g. antiemetics, analgesics, corticosteroids, anticonvulsants, antiarrhythmics) procedures: Administration of i.v. Bisphosphonates (e.g. Zolendronic acid) for bone metastases, hypercalcaemia/ bone pain procedures: Administration of parenteral nutrition in outpatient setting Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) 2,06 0,62 Page 9 of 10

10 26 procedures: Administration of growth factors (granulocyte stimulating factors, erythropoietin where appropriate) procedures: Administration of i.m. Vitamin B12 injection where appropriate (e.g. every 9 weeks with pemetrexed chemo) Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular 0,58 27 Evaluations +/- Invasive outpatient procedures: Insertion of urinary catheter Insertion of temporary indwelling bladder catheter; simple (eg, Foley) 1,83 Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon) 3,62 Page 10 of 10

ACRIN 6651/Economic Forms CPT Code Listing

ACRIN 6651/Economic Forms CPT Code Listing 1 EX Form 1. Pelvic Exam (unsure of how to capture, only pelvic exam with anesthesia available). 2. Intravenous Pyelogram 74400- Urography (pyelography), intravenous,