Other codes requiring documentation
Avoid negative impacts to your claims by providing medical records with your initial claim submission for the codes listed below. For details, view our article on the new process for pathology, laboratory, skin cell suspension and other codes.
| Code | Descriptor | Effective "from" date of service |
Effective "through" date of service |
|---|---|---|---|
| G0183 | Quantitative software measurements of cardiac volume, cardiac chambers volumes and left ventricular wall mass derived from ct scan(s) data of the chest / heart (with or without contrast) | 4/1/2025 | Present |
| G0561 | Tympanostomy with local or topical anesthesia and insertion of a ventilating tube when performed with tympanostomy tube delivery device, unilateral (list separately in addition to 69433) (do not use in conjunction with 0583T) | 1/1/2025 | Present |
| G0562 | Therapeutic radiology simulation-aided field setting: complex, including acquisition of PET and CT imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling) | 1/1/2025 | Present |
| G0563 | 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 | 1/1/2025 | Present |
| G0564 | Creation of subcutaneous pocket with insertion of 365-day implantable interstitial glucose sensor, including system activation and patient training | 1/1/2025 | Present |
| G0565 | Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 365-day implantable sensor, including system activation | 1/1/2025 | Present |
| G0566 | 3D radiodensity-value bone imaging, algorithm derived, from previous magnetic resonance examination of the same anatomy | 4/1/2025 | Present |
| 61715 | Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed | 1/1/2025 | Present |
| 97545 | Work hardening / conditioning; initial 2 hours | 1/1/2024 | Present |
| 97546 | Work hardening / conditioning; each additional hour | 1/1/2024 | Present |