CPT No delivery code

[Neoplastic]

This is a random coding question: Does it ever make sense not to submit a radiation delivery code but submit everything else? I am reviewing a practice and it seems that for a fair number of patients, everything (planning, IGRT, treatment mgmt) is submitted except the actual daily delivery code.
Is there some obvious explanation I am missing?
Or is the most likely explanation sloppy submission of codes?

---

Members don't see this ad.

 

[Gfunk6]

They are probably only collecting professional fees. The hospital owns the accelerator and bills the technical fees separately.

 

[Neoplastic]

Thanks - that's what I thought at first, but this is actually an office based practice (not outpatient hospital).
Could there be any other reasonable explanation?

 

[Gfunk6]

Who owns the machines? Billing may be done by that entity.