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CODING GUIDELINES - eviCore

Radiation Therapy Effective January 1, 2018 CODING GUIDELINES for medical necessity review of radiation therapy services. 2018 eviCore healthcare. All rights reserved. CODING GUIDELINES Page 2 of 12 Please note the following: CPT Copyright 2017 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Page 3 of 12 Please note the following: All information provided by the NCCN is Referenced with permission from the NCCN Clinical Practice GUIDELINES in Oncology (NCCN GuidelinesTM) 2018 National Comprehensive Cancer Network.

coding conventions defined in the American Medical Association's CPT Manual, national and local policies and edits, coding guidelines developed by national societies, analysis of standard medical and surgical practices, and a review of current coding practices.”

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