Transcription of Evicore Radiation Therapy Coding Guidelines Effective
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Evicore Radiation Therapy Coding Guidelines Effective
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. The NCCN GuidelinesTM and illustrations herein may not be reproduced in any form for any purpose without the express written permission of the NCCN. To view the most recent and complete version of the NCCN Guidelines , go online to CCI or NCCI (National Correct Coding Initiative) is an initiative taken by CMS. Per the CMS website, The CMS developed the National Correct Coding Initiative (NCCI) to promote national correct Coding methodologies and to control improper Coding leading to inappropriate payment in Part B claims.
1. Contouring for three-dimensional conformal radiation therapy (3D-CRT) 2. Contouring for intensity modulated radiation therapy (IMRT), even when multiple image sets are referenced 3. Reviewing a multiphase plan when the physicist has done the work of - summing the plans. 4. The work required for the 4DCT performed during simulation for treatment
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