Browse HCPCS Level II 2020 Edition - Coding

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Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

G6003 - G6017 Treatment, Radiation

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G6003 Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 5.25 5.25 0.01 5.26 5.26 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6004 Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 3.97 3.97 0.01 3.98 3.98 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6005 Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 3.97 3.97 0.01 3.98 3.98 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6006 Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 3.97 3.97 0.01 3.98 3.98 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6007 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 7.46 7.46 0.01 7.47 7.47 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6008 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 5.48 5.48 0.01 5.49 5.49 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6009 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 5.44 5.44 0.01 5.45 5.45 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6010 Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 5.44 5.44 0.01 5.45 5.45 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6011 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 7.37 7.37 0.01 7.38 7.38 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 7.27 7.27 0.01 7.28 7.28 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 7.28 7.28 0.01 7.29 7.29 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6014 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater short Radiation treatment delivery RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 7.28 7.28 0.01 7.29 7.29 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session short Radiation tx delivery imrt RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 10.2 10.2 0.05 10.25 10.25 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6016 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 Delivery comp imrt RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 10.2 10.2 0.01 10.21 10.21 XXX MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure

G6017 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 Intrafraction track motion RVU CPT Modifier Physician Component Facility Practice Nonfacility Practice Professional Liability Insurance Total Facility Total Nonfacility Global Period 0.0 0.0 0.0 0.0 0.0 0.0 YYY MUE Location Value Ajudication Indicator Rationale PRA 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure OPH 2.0 3 Date of Service Edit: Clinical Nature of Service/Procedure