| HCPCS Code: |
G0251 |
| Long Description: |
Linear accelerator based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, maximum five sessions per course of treatment |
| Short Description: |
Linear acc based stero radio |
| Pricing Indicator 1: |
00 (Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)) |
| Multiple Pricing Code: |
9 (Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is 99)) |
| Statute Number: |
|
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0107 |
| Berenson-Eggers Type of Service (BETOS) Code: |
I1F (Standard imaging - other) |
| Type of Service Code 1: |
4 (Diagnostic radiology) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-04-2002 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
P (Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)) |
