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G0340 - Robt lin-radsurg fractx 2-5

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Field Value
HCPCS Code: G0340
Long Description: Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment
Short Description: Robt lin-radsurg fractx 2-5
Pricing Indicator 1: 13 (Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion))
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number:
Coverage Code: C (Carrier judgment)
ASC Payment Group Code:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: P5E (Ambulatory procedures - other)
Type of Service Code 1: 1 (Medical care)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2004
Action Effective Date: 01-01-2014
Action Code: P (Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers))