What do you mean by "requirements"?
Image Guidance CPT® and HCPCS Codes
A new CPT code for image guidance was created in 2015:
- 77387: Guidance for localization of target volume for delivery of radiation treatment delivery, includes intrafraction tracking, when performed
However, CPT code 77387 did not receive an assigned reimbursement value in the MPFS. Providers billing under Medicare were instructed to report IGRT services using the following Healthcare Common Procedure Coding System (HCPCS) G-codes and CPT code:
- G6001: Ultrasonic guidance for placement of radiation therapy fields
- G6002: Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy
- G6017: Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (e.g., 3D positional tracking, gating, 3D surface tracking), each fraction of treatment
- 77014: Computed tomography guidance for placement of radiation therapy fields
These codes can also be used to report the professional component (PC) of IGRT services for providers in a hospital setting by attaching the -26 modifier to the codes.
Note: G6017 is a technical-only code, therefore the -26 modifier cannot be attached.
Non-Medicare payers, however, have discretion as to whether they will accept the IGRT G-codes or CPT code 77387. Although there is no Medicare-assigned value for CPT code 77387, some private payers have assigned their own value to 77387. In these situations, a provider will report 77387 globally, or by attaching the -26 modifier to 77387 to designate the PC of the code.
