How To Use HCPCS Code G6001

HCPCS code G6001 describes the use of ultrasonic guidance for the placement of radiation therapy fields. This code is specifically used for echo guidance radiotherapy procedures. In this article, we will explore the details of HCPCS code G6001, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS G6001?

HCPCS code G6001 is used to identify the use of ultrasonic guidance for the placement of radiation therapy fields. This code specifically applies to echo guidance radiotherapy procedures. It is important to note that this code is not applicable for other types of guidance or procedures.

2. Official Description

The official description of HCPCS code G6001 is “Ultrasonic guidance for placement of radiation therapy fields.” The short description for this code is “Echo guidance radiotherapy.”

3. Procedure

1. The provider begins by preparing the patient for the echo guidance radiotherapy procedure.
2. An ultrasound machine is used to visualize the area where the radiation therapy fields need to be placed.
3. The provider uses the ultrasound guidance to accurately position the radiation therapy fields.
4. Once the fields are properly placed, the provider may proceed with the radiation therapy treatment.

4. When to use HCPCS code G6001

HCPCS code G6001 should be used when ultrasonic guidance is utilized for the placement of radiation therapy fields. This code is specific to echo guidance radiotherapy procedures and should not be used for other types of guidance or procedures.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code G6001, healthcare providers should ensure that the documentation clearly indicates the use of ultrasonic guidance for the placement of radiation therapy fields. This may include details about the ultrasound machine used, the visualization process, and the accurate positioning of the fields. It is important to follow the specific billing guidelines provided by the payer to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code G6001 was added to the Healthcare Common Procedure Coding System on January 01, 2015. 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 provide coverage for HCPCS code G6001. The pricing indicator code for this code is 13, which means that the price is established by carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. It is important to check with the specific payer for coverage and reimbursement details.

8. Examples

Here are five examples of when HCPCS code G6001 should be billed:

1. A patient with a diagnosed tumor requires radiation therapy. The provider utilizes ultrasonic guidance to accurately position the radiation therapy fields.
2. A patient with a history of cancer undergoes a follow-up radiation therapy session. The provider uses ultrasonic guidance to ensure precise placement of the radiation therapy fields.
3. A patient with a complex anatomy requires radiation therapy. The provider utilizes ultrasonic guidance to navigate the challenging anatomy and position the radiation therapy fields accurately.
4. A patient with a recurring tumor undergoes radiation therapy. The provider uses ultrasonic guidance to ensure that the radiation therapy fields are placed precisely on the tumor site.
5. A patient with a deep-seated tumor requires radiation therapy. The provider utilizes ultrasonic guidance to visualize the tumor location and accurately position the radiation therapy fields.