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Procedure code 61793 (stereotactic radiosurgery, one or more sessions) includes all of the services that are included in procedure code 61795 (stereotatic computer assisted volumetric procedure, intracranial, extracaranial, or spinal). Therefore, procedure code 61795 should not be billed in addition to code 61793.
Procedure code 61793 includes multiple sessions and multiple sites (or lesions). This code should be reported only once regardless of the number of sites/lesions treated or the number of sessions required to complete the treatment.
POLICY GUIDELINESThe coding guidelines outlined in Coding Policy should not be used in lieu of the Member's specific benefits plan language.
POLICY HISTORY1/2003: Policy developed