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Last Modified: 4/16/2025 Location: FL, PR, USVI Business: Part A, Part B

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
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