CPT® Code 0197T

Deleted

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg, 3D positional tracking, gating, 3D surface tracking), each fraction of treatment

The CPT® Code 0197T refers to the process of intra-fraction localization and tracking of target or patient motion during the delivery of radiation therapy. This procedure utilizes advanced technology to ensure that the radiation beam is accurately directed at the tumor while accounting for any movement of the patient. The common language description highlights the use of a patient-position and motion-detection device, which plays a crucial role in monitoring the patient's position and movement throughout the radiation treatment session. With the evolution of radiation therapy techniques, such as intensity modulated radiation therapy (IMRT) and image guided radiation therapy (IGRT), the ability to deliver higher doses of radiation with precision has significantly improved. The effectiveness of these advanced therapies relies heavily on the accurate positioning of the patient and the clinician's capability to track any motion that may occur during treatment. To facilitate this, new intra-fraction localization and tracking devices have been developed. These devices assist clinicians in monitoring patient position and tracking motion during the actual delivery of radiation. Prior to the commencement of radiation therapy, a scanner is employed to capture images of the treatment area or the entire body surface. This imaging data is then analyzed and stored by computer software, creating a reference for optimal patient positioning. During the radiation treatment, the device continuously monitors the patient's motion against the previously acquired images. If the patient moves beyond the established tolerances, the system alerts the radiation technologist, prompting a pause in treatment. The patient is then repositioned correctly before the treatment session resumes. It is important to note that this code is reported for each fraction of treatment, emphasizing the need for precise localization and tracking throughout the entire course of radiation therapy.