Radiopharmaceutical therapy by intravenous (IV) administration requires the establishment of an IV access line followed by the injection of a dose-specific radioisotope for the treatment of a disease or condition. The radioisotope travels through the circulatory system to the targeted organ or tissue. Strontium 99 (Metasron), Samarium 153 (Quadramet) and Radium-223 (Xofigo) are radiopharmaceuticals that can be administered IV to treat bone pain due to cancer metastasis.
Report CPT code 79101 for above procedure.
Radiopharmaceutical therapy by oral administration is the ingestion of a dose-specific radioisotope in the form of a liquid, tablet, or capsule for the treatment of a disease or condition. The radioisotope travels through normal body pathways to the targeted organ or tissue. Iodine-131 is one example of an oral radiopharmaceutical that is used to treat hyperthyroidism and/or thyroid gland cancers.
Report CPT code 79005 for above procedure.
Description for CPT code 79101 & 79005
79005 - Radiopharmaceutical therapy, by oral administration
79101 - Radiopharmaceutical therapy, by intravenous administration
Top modifiers used with CPT code 79101 & 79005
26 - Professional Component
Certain procedures are a combination of a physician or other qualified health care professional component and a Technical Component. When the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
GC - This service has been performed in part by a resident under the direction of a teaching physician
TC - Technical component. under certain circumstances, a charge may be made for the technical component alone. under those circumstances the technical component charge is identified by adding modifier 'tc’ to the usual procedure number.
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