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HCPCS Code for Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session G6015

HCPCS code G6015 for Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session as maintained by CMS falls under Radiation Therapy Services .

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Official Long Descriptor

Intensity modulated treatment delivery, single or multiple fields/arcs, via narrow spatially and temporally modulated beams, binary, dynamic MLC, per treatment session

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Question
I am receiving a denial from the facility for billing out G6015 and G6002 stating that there are NCCI edits. Can anyone help me with this that may do outpatient facility charges. Thank you,... [ Read More ]
Billing 77331
I have a patient that is a breast IMRT plan 77301 with 3D and bill the Diodes 73331 they are denying. This procedure or procedure/modifier combination is not compatible with another procedure or proce... [ Read More ]
77338 with G6015(77418)
Good Morning, has anyone reviewed this yet and come up with anything? some payers pay this no problem when billed on sme date. Medicare requires 59 mod on 77338 for seperate reimbursement and BCN deni... [ Read More ]
Billing 77338 and G6015/77385
It is for the Boost, then on the same date of service as the boost they are also doing a radiation treatment (77385 or if Medicare G6015). I don't understand why you can use any modifier if the CPT co... [ Read More ]
Billing 77338 and G6015/77385
The CPT book states you can’t bill 77338 and G6015/77385 out together on the same day and yet the admin of the our Radiation dept is insisting we do it anyway and use modifier XE or 59 on 77338. Is ... [ Read More ]
Crosswalking Rad/Onc codes between plans
More like apples (G6015) to red-apples (77385) and green-apples (77386). :) Yes it is written that the 77385-77386 are for hospital based and the G6015 is for free-standing...but real world for fre... [ Read More ]
Crosswalking Rad/Onc codes between plans
So, it's totally a parallel to bill 77385 and G6015? It's not apples and oranges? Is there an online resource to find this stuff in the future?... [ Read More ]
Crosswalking Rad/Onc codes between plans
CPT 77385 is for IMRT Delivery that includes guidance and tracking; Simple - in [B]Hospital Setting[/B]. G6015 is IMRT Delivery; single or multiple fields/arcs, via narrow spatially and temporally mo... [ Read More ]
Crosswalking Rad/Onc codes between plans
In a freestanding cancer center, there are 2 IMRT codes. The first is G6015, this is probably the one you want. The other is G6016 and is used for compensator based IMRT.... [ Read More ]
Crosswalking Rad/Onc codes between plans
I have a question regarding crosswalking Radiation Oncology codes between a commercial primary insurance plan and Medicare as secondary. Is it normal for one CPT: 77385 to crosswalk into two HCPCs co... [ Read More ]
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