|
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 |
|
|
|