HCPCS Code Section: HCPCS G Codes

Patient did not receive both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of …

Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater Short Description: Radiation treatment delivery Coverage Code: Carrier judgment …

Patient had prior pneumococcal vaccine adverse reaction any time during or before the measurement period Short Description: Pneum vacc adv rx Coverage Code: Carrier judgment Action Code: Add procedure …

Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev Short Description: Radiation treatment delivery Coverage Code: Carrier judgment Action Code: …

Patients received both the 13-valent pneumococcal conjugate vaccine and the 23-valent pneumococcal polysaccharide vaccine at least 12 months apart, with the first occurrence after the age of 60 before …

Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev Short Description: Radiation treatment delivery Coverage Code: Carrier judgment Action Code: …

Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev Short Description: Radiation treatment delivery Coverage Code: Carrier judgment …

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy Short Description: Stereoscopic x-ray guidance Coverage Code: Carrier judgment Action Code: No maintenance for this …

Ultrasonic guidance for placement of radiation therapy fields Short Description: Echo guidance radiotherapy Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Administration and supply of tositumomab, 450 mg Short Description: Admin + supply, tositumomab Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: July 1, 2003 …