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Stereotactic Body Radiation Therapy and …

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/stereotactic-body-radiation-therapy-radiosurgery.pdf
    Stereotactic radiation therapy including stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) is considered proven and medically necessary for the following indications: • Acoustic neuroma (vestibular schwannoma) • Brain metastasis …

Stereotactic Body Radiation Therapy and …

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medicaid-comm-plan/stereotactic-body-radiation-therapy-radiosurgery-cs.pdf
    Stereotactic radiation therapy including stereotactic radiosurgery (SRS) and stereotactic body radiation therapy (SBRT) is considered proven and medically necessary for the …

Radiation and Oncologic Procedures

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-coverage-sum/radiation-oncologic-procedures.pdf
    Stereotactic Radiosurgery (SRS)/Stereotactic Body Radiation Therapy (SBRT) (CPT codes 77371, 77372, 77373, G0339 and G0340) Medicare does not have a National Coverage …

UnitedHealthcare Commercial Medical & Drug Policies …

    https://www.uhcprovider.com/en/policies-protocols/commercial-policies/commercial-medical-drug-policies.html?rfid=UHCOContRD
    UnitedHealthcare has developed Medical Policies, Medical Benefit Drug Policies, Coverage Determination Guidelines, and Utilization Review Guidelines to assist us in …

Intensity-Modulated Radiation Therapy

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-medical-drug/intensity-modulated-radiation-therapy.pdf
    Note: This policy applies to persons 19 years of age and older. Intensity-modulated radiation therapy (IMRT) is covered without further review for persons 18 years and …

Radiation Oncologists Faced With New UHC Prior …

    https://www.acr.org/Advocacy-and-Economics/Advocacy-News/Advocacy-News-Issues/In-the-April-3-2021-Issue/Radiation-Oncologists-Faced-With-New-UHC-Prior-Authorization-Requirements
    Prior authorization will be required for the following radiation therapy services, in addition to intensity-modulated radiation therapy and proton beam therapy: …

Stereotactic Radiosurgery - Medical Clinical Policy …

    https://www.aetna.com/cpb/medical/data/1_99/0083.html
    Aetna considers stereotactic radiosurgery medically necessary in certain circumstances. For medical necessity criteria, see eviCore Healthcare Radiation Therapy Clinical …

Stereotactic radiosurgery - Mayo Clinic

    https://www.mayoclinic.org/tests-procedures/stereotactic-radiosurgery/about/pac-20384526
    Proton beam therapy (charged particle radiosurgery) is the newest type of stereotactic radiosurgery and is available in only a few research centers in the U.S, …

LCD - Stereotactic Radiation Therapy: Stereotactic …

    https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35076&DocID=L35076
    This section allows coverage and payment for only those services that are considered to be medically reasonable and necessary for the diagnosis or treatment …

Article - Billing and Coding: Stereotactic Radiation …

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56874&LCDId=35076&DocID=L35076
    CMS National Coverage Policy N/A Article Guidance Article Text This article contains coding and other guidelines that complement the Local Coverage Determination …



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