Date Posted: March 12, 2026

This Billing and Coding Article has been revised under contractor numbers: 01111 (CA), 01211 (AS, GU, HI, NMI), 01311 (NV), and 01911 (CA, HI & Territories).

Effective Date: March 1, 2026

Summary of Changes:

Under Article Text, deleted: "For purposes of this LCD, SRT is only payable in a non-facility setting. As defined by Section 3(b) of the Patient Access and Medicare Protection Act (PAMPA), the following settings would be allowable: The term "non-facility settings" refers to freestanding radiation therapy centers, which are treated like physicians' offices for Medicare payment and billing purposes and are paid under the Medicare Physician Fee Schedule (MPFS). In contrast, the term "facility settings" refers to hospitals, which provide radiation therapy (RT) in their hospital outpatient departments. Physician office, if allowed by their local state requirements as meeting these requirements, would also fall under the rubric of a freestanding RT center for Medicare payment and billing purposes for the delivery of SRT."

Visit the Noridian Active LCDs webpage to view the document or access it via the CMS Medicare Coverage Database (MCD).