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Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of tre...

HCPCS code

Medical Policies and Guidelines for Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of tre...

Related policies from health plans

Stereotactic Radiosurgery and Stereotactic Body Radiotherapy
Stereotactic Radiosurgery and Stereotactic Body Radiotherapy(Eff. beginning 1.1.24)
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
Y78.1 - Therapeutic (nonsurgical) and rehabilitative radiological devices associated with adverse incidents
T84.320D - Displacement of electronic bone stimulator, subsequent encounter
Y84.2 - Radiological procedure and radiotherapy as the cause of abnormal reaction of the patient, or of late
T84.320A - Displacement of electronic bone stimulator, initial encounter
T84.320 - Displacement of electronic bone stimulator
Z57.1 - Occupational exposure to radiation
Z51.1 - Encounter for antineoplastic chemotherapy and immunotherapy
Y78.8 - Miscellaneous radiological devices associated with adverse incidents, not elsewhere classified
Z58.4 - Exposure to radiation

HCPCS codes

G0340 - Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimat
G0339 - Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy
G6014 - Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports,
G6002 - Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
G6012 - Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports,
G6013 - 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
G6017 - Intra-fraction localization and tracking of target or patient motion during delivery of radiation th
G6001 - Ultrasonic guidance for placement of radiation therapy fields
G6006 - Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple bl

CPT4 codes

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