| HCPCS Code: |
G0173 |
| Long Description: |
Linear accelerator based stereotactic radiosurgery, complete course of therapy in one session |
| Short Description: |
Linear acc stereo radsur com |
| 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: |
0094 |
| Berenson-Eggers Type of Service (BETOS) Code: |
P5E (Ambulatory procedures - other) |
| Type of Service Code 1: |
2 (Surgery) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-08-2000 |
| Action Effective Date: |
01-01-2014 |
| Action Code: |
P (Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)) |
