Intensity Modulated Radiation Therapy (IMRT) LCD - R9

The following JF Local Coverage Determination (LCD) has been revised under contractor numbers 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), 03602 (WY).

Medicare Coverage Database (MCD) Number: L34080
LCD Title: Intensity Modulated Radiation Therapy (IMRT)
Effective Date:
October 1, 2018
Summary of Changes: Use of Simulation-Aided Field Setting in IMRT (CPT 77280-77295) is revised to delete the last sentence, "Also, a simple simulation (77280) may be appropriately provided and claimed once during a course of IMRT, either as a separate or at the time of the first fraction, where the record documents the simulation is for the purpose of field verification, and occurs on a separate day from and after 77290.", consistent with NCCI.

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Last Updated Jun 11, 2019