HCPCS code G0340 — Robt lin-radsurg fractx 2-5.
Status: Active.
Effective Jan 1, 2014.
Source: CMS HCPCS Level II.
G0340
ActiveRobt lin-radsurg fractx 2-5
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
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2014
Code type:
alphanumeric
OPPS Status:
B
— Code not recognized by OPPS — billed via another route
MUE — Medically Unlikely Edits
Maximum units of G0340 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0340 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0463 | Modifier cannot bypass edit |
| G0471 | Modifier cannot bypass edit |
| G0500 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0340 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0339 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)