HCPCS Service Codes - Therapeutic radiology

HCPCS Service Code 6 for Therapeutic radiology.

HCPCS Type of Service (TOS) code is an indicator that the contractor places on Form CMS-1500. The indicator is mainly used for data purposes, however in some instances, it affects payment. All HCPCS codes have a corresponding TOS indicator.

Below are all available HCPCS TOS codes. Find an HCPCS code based on the type of service.

HCPCS Codes for Therapeutic radiology

  • A9513

    Lutetium lu 177, dotatate, therapeutic, 1 millicurie

  • A9517

    Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie

  • A9530

    Iodine i-131 sodium iodide solution, therapeutic, per millicurie

  • A9532

    Iodine i-125 serum albumin, diagnostic, per 5 microcuries

  • A9543

    Yttrium y-90 ibritumomab tiuxetan, therapeutic, per treatment dose, up to 40 millicuries

  • A9545

    Iodine i-131 tositumomab, therapeutic, per treatment dose

  • A9563

    Sodium phosphate p-32, therapeutic, per millicurie

  • A9564

    Chromic phosphate p-32 suspension, therapeutic, per millicurie

  • A9600

    Strontium sr-89 chloride, therapeutic, per millicurie

  • A9604

    Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries

  • A9607

    Lutetium lu 177 vipivotide tetraxetan, therapeutic, 1 millicurie

  • A9609

    Fludeoxyglucose f18 up to 15 millicuries

  • A9699

    Radiopharmaceutical, therapeutic, not otherwise classified

  • C1716

    Brachytherapy source, non-stranded, gold-198, per source

  • C1717

    Brachytherapy source, non-stranded, high dose rate iridium-192, per source

  • C1719

    Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source

  • C2616

    Brachytherapy source, non-stranded, yttrium-90, per source

  • C2638

    Brachytherapy source, stranded, iodine-125, per source

  • C2644

    Brachytherapy source, cesium-131 chloride solution, per millicurie

  • C9725

    Placement of endorectal intracavitary applicator for high intensity brachytherapy

  • C9726

    Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure

  • C9790

    Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance

  • C9794

    Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)

  • C9795

    Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions

  • G0458

    Low dose rate (ldr) prostate brachytherapy services, composite rate

  • G0562

    Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)

  • G0563

    Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions

  • 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

  • G6003

    Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev

  • G6004

    Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev

  • G6005

    Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev

  • G6006

    Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater

  • G6007

    Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev

  • G6008

    Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev

  • G6009

    Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev

  • G6010

    Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater

  • G6011

    Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev

  • G6012

    Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev

  • G6013

    Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev

  • G6014

    Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater

  • G6015

    Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session

  • G6016

    Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session

  • G6017

    Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment