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Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment

HCPCS code

Medical Policies and Guidelines for Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment

Related policies from health plans

Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy - Medicare Advantage
Stereotactic Body Radiation Therapy (PDF)

Similar Codes


ICD10CM codes

Z51.0 - Encounter for antineoplastic radiation therapy
Y84.2 - Radiological procedure and radiotherapy as the cause of abnormal reaction of the patient, or of late
Y78.1 - Therapeutic (nonsurgical) and rehabilitative radiological devices associated with adverse incidents
X39.08XA - Exposure to other natural radiation, initial encounter
Y63.3 - Inadvertent exposure of patient to radiation during medical care
Z58.4 - Exposure to radiation
Z57.1 - Occupational exposure to radiation
K52.0 - Gastroenteritis and colitis due to radiation
W88.0XXA - Exposure to X-rays, initial encounter
Z51.1 - Encounter for antineoplastic chemotherapy and immunotherapy

HCPCS codes

G0339 - Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy
G0340 - Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimat
G6002 - Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
G6017 - Intra-fraction localization and tracking of target or patient motion during delivery of radiation th
G6013 - Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports,
G6014 - Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports,
G6015 - Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temp
G6012 - Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports,
G6001 - Ultrasonic guidance for placement of radiation therapy fields
G9637 - Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure

CPT4 codes

77372 - Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
77435 - Stereotactic body radiation therapy, treatment management, per treatment course, to 1 or more lesion
61799 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial
63620 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 spinal lesion
61797 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial
63621 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional spinal
77371 - Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of crani
61798 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesio
77373 - Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, includin
61796 - Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion