Table of content for "Sbrt w/positron emission del" (HCPCS C9795)
General information on the “C9795” code
HCPCS Code: C9795
Long Description: Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions
Short Description: Sbrt w/positron emission del
Original information is taken from C9795 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1833(T)
Cross Reference Code 1: G0563 ;
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): P7A – Oncology - radiation therapy
Type Of Service 1: 6 – Therapeutic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240101
Code Effective Date: 20250101
Termination Date: 20241231
Action Code: D – Discontinue procedure or modifier code