0794T Pt specimen alg rx-onc treatment option
Also known as: Cancer treatment algorithm, Radiation planning algorithm, Treatment prediction
Patient-specific algorithm for radiation oncology treatment option prediction.
In Plain Language
Computer prediction of best cancer treatment; AI tool for treatment planning
Clinical Context
Used to predict optimal radiation therapy treatment approach for individual cancer patients based on tumor and patient characteristics.
RVU Information
CPT 0794T does not have a physician work RVU assigned by CMS. Category III codes for emerging technology do not receive RVU assignments. Reimbursement is negotiated with individual payers.
Billing & Documentation
Category III codes are temporary codes for emerging technology, services, and procedures. They are not assigned RVU values by CMS. Coverage and reimbursement vary by payer — check with individual insurers before billing. These codes sunset after 5 years if not converted to Category I.
Specialties
Frequently Asked Questions
What is CPT code 0794T?
CPT 0794T (Pt specimen alg rx-onc treatment option) is a Category III code. Patient-specific algorithm for radiation oncology treatment option prediction.
Is 0794T a permanent CPT code?
No — 0794T is a Category III temporary code for emerging technology. It may be converted to a permanent Category I code if widely adopted. Category III codes expire after 5 years without renewal.
When is CPT 0794T used?
Used to predict optimal radiation therapy treatment approach for individual cancer patients based on tumor and patient characteristics.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.