Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.17
Physician Management Associated with Superficial Radiation
30.6.17 – Physician Management Associated with Superficial Radiation
Treatment
(Rev.4339, Issued: 07-25-19, Effective: 01-01-19, Implementation: 08-27-19)
Evaluation and management codes for levels I through III (99211, 99212, and 99213) may be
billed with modifier 25 when performed for the purpose of reporting physician work associated
with radiation therapy planning, radiation treatment device construction, and radiation
treatment management when performed on the same date of service as superficial radiation
treatment delivery. See chapter 13, section 70.2, of this manual for information regarding
services bundled into treatment management codes.