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US · guidance

CMS Pub. 100-04, ch. 4, § 200.3.1

Billing Instructions for IMRT Planning and Delivery

activein force · 2026-08-25 – presentas-observed

Payment for the services identified by CPT codes 77014, 77280, 77285, 77290, 77295,

77306 through 77321, 77331, and 77370 are included in the APC payment for CPT code

77301 (IMRT planning). These codes should not be reported in addition to CPT code

77301 when provided prior to or as part of the development of the IMRT plan. In

addition, CPT codes 77280-77290 (simulation-aided field settings) should not be reported

for verification of the treatment field during a course of IMRT.

History

(Rev. 3685, Issued: 12-22-16, Effective: 01-01-17, Implementation: 01-03-17)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
26b9cf62dc9e5f733089a2ae123d2a0e6a6b5bea7dd68cef6ae162fbac6533f4
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