HCPCS Code Section: HCPCS G Codes

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 …

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session Short Description: Radiation tx delivery imrt Coverage Code: Carrier …

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater Short Description: Radiation treatment delivery Coverage Code: …

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev Short Description: Radiation treatment delivery Coverage Code: Carrier judgment …

Amitriptyline Short Description: Assay of amitriptyline Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 Effective Date: January 1, 2016 Termination Date: …

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev Short Description: Radiation treatment delivery Coverage Code: Carrier judgment …

Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); with biopsy(ies) Short Description: Anoscopy hra w/biopsy Coverage Code: Carrier judgment Action Code: No maintenance for this code Date …

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev Short Description: Radiation treatment delivery Coverage Code: …

Anoscopy, high resolution (hra) (with magnification and chemical agent enhancement); diagnostic, including collection of specimen(s) by brushing or washing when performed Short Description: Anoscopy hra w/spec collect Coverage Code: …