HCPCS Code Section: HCPCS G Codes

Colonoscopy through stoma; with transendoscopic stent placement (includes predilation) Short Description: Colonoscopy w/stent Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 …

Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique Short Description: Colonoscopy lesion removal …

Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation) Short Description: Ileoscopy w/stent Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2015 …

Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment Short Description: Intrafraction track …

Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session Short Description: Delivery …

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 …