How To Use HCPCS Code G0339

HCPCS code G0339 describes image-guided robotic linear accelerator-based stereotactic radiosurgery, either as a complete course of therapy in one session or as the first session of fractionated treatment. This code is used to identify a specific medical procedure and is important for medical coders to accurately bill for the service.

1. What is HCPCS G0339?

HCPCS code G0339 is a specific code used to identify image-guided robotic linear accelerator-based stereotactic radiosurgery. This procedure involves the use of advanced technology to deliver precise radiation therapy to a targeted area of the body. It can be performed as a complete course of therapy in one session or as the first session of fractionated treatment.

2. Official Description

The official description of HCPCS code G0339 is “Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment.” The short description is “Robot lin-radsurg com, first.”

3. Procedure

1. The provider begins by assessing the patient’s medical condition and determining the need for image-guided robotic linear accelerator-based stereotactic radiosurgery.
2. Once the decision is made to proceed with the procedure, the patient is positioned on the treatment table.
3. Using advanced imaging technology, such as CT scans or MRI, the provider identifies the precise location of the target area.
4. The robotic linear accelerator is then programmed to deliver highly focused radiation beams to the target area, while minimizing exposure to surrounding healthy tissues.
5. The procedure is typically completed in one session, but in some cases, it may be performed as the first session of fractionated treatment, which involves multiple sessions over a period of time.
6. After the procedure, the patient is monitored for any immediate complications or side effects.

4. When to use HCPCS code G0339

HCPCS code G0339 should be used when billing for image-guided robotic linear accelerator-based stereotactic radiosurgery. It is important to note that this code is specific to the complete course of therapy in one session or the first session of fractionated treatment. If the procedure is performed as subsequent sessions of fractionated treatment, a different HCPCS code should be used.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G0339, healthcare providers need to document the medical necessity of the procedure, including the patient’s diagnosis and the rationale for choosing image-guided robotic linear accelerator-based stereotactic radiosurgery. Additionally, providers should include any relevant imaging studies or other supporting documentation in the patient’s medical record.

6. Historical Information and Code Maintenance

HCPCS code G0339 was added to the Healthcare Common Procedure Coding System on January 01, 2004. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the cost of image-guided robotic linear accelerator-based stereotactic radiosurgery when it is deemed medically necessary. The pricing indicator code for HCPCS code G0339 is 13, which means that the price is established by carriers based on individual determination and carrier discretion. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code G0339 should be billed:

1. A patient with a brain tumor undergoes image-guided robotic linear accelerator-based stereotactic radiosurgery as a complete course of therapy in one session.
2. A patient with lung cancer receives the first session of fractionated treatment using image-guided robotic linear accelerator-based stereotactic radiosurgery.
3. A patient with liver metastases undergoes image-guided robotic linear accelerator-based stereotactic radiosurgery as a complete course of therapy in one session.
4. A patient with spinal tumors receives the first session of fractionated treatment using image-guided robotic linear accelerator-based stereotactic radiosurgery.
5. A patient with prostate cancer undergoes image-guided robotic linear accelerator-based stereotactic radiosurgery as a complete course of therapy in one session.