Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.17

Physician Management Associated with Superficial Radiation

Last amended: 2019Year: 2019Length: 87 wordsOfficial source
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.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.17: Physician Management Associated with Superficial Radiation | Justis AI