Manual de Facturacion de Servicios de Radioterapia 2012

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  • 1. MANUAL DE FACTURACION DE SERVICIOS DE RADIOLOGIA/RADIACCION ONCOLOGICA 2012Manual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 2. TABLA DE CONTENIDOIntroducciónProcedimientos de Servicios de RadioterapiasAnejos:Tabla 1. Procedimientos de Servicios de Radioterapia y Suplidos con TarifasTabla 2. Diagnósticos más utilizados en Servicios de RadioterapiaManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 3. INTRODUCCIÓNEl Manual de Facturación de Servicios de Radioterapias; tiene como propósito ayudar en elproceso para determinar y seleccionar los códigos de procedimientos apropiados que se prestan alos pacientes (clientes) y a su vez facturar los códigos acorde con los honorarios comunesestablecidos para estos servicios, generalmente en la industria de la salud.Este Manual adoptara el sistema de codificación y descripción de los procedimientos de serviciosde radioterapias comunes siguiendo los Códigos del CPT 2012 (Current ProceduralTerminology) actual de la Asociación Médica Americana, porque este sistema fue acogido por elDepartamento de Salud Federal por cumplir con la Ley HIPAA (Health Insurance Portability andAccountability Act, 1996). Cada una de las descripciones está en ingles, según se localizan en elCPT 2012. Además, al final encontrara las tarifas de los procedimientos y los diagnósticosapropiados más comunes. Se recomienda la actualización anual de este, dado los cambios encódigos y en la economía global.Se espera que este Manual sea útil para facturar favorablemente los servicios de radioterapiasque son provistos a los pacientes (clientes), y que facilite el trabajo del personal de oficina deservicios de salud, al procesar los mismos.Manual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 4. ANEJOS Tabla 1. Procedimientos de Servicios de Radioterapia y Suplidos con Tarifas según Medicare 2012 Incluyen los siguientes códigos del CPT (77XXX-77799)Códigos Descripción de Procedimientos Tarifas (Medicare)*77280 TC Set radiation therapy field, simple 44.0577285 TC Set radiation therapy field, intermediate 107.9877290 TC Set radiation therapy field, complex 107.9877295 TC Set radiation therapy field, 3-dimensional 194.0977299 TC Radiation therapy planning, unlisted procedure 44.0577300 TC Radiation therapy dose plan, basic 26.0777301 TC IMRT = (Intensity modulated radiotherapy) - Radiotherapy dose plan, intensity 390.5677305 TC Teletx isodose plan simple 19.5577310 TC Teletx isodose plan intermediate 26.0777315 TC Teletx isodose plan complex 42.9777321 TC Special teletx port plan 36.4677326 TC Brachytx isodose calc simp 44.0577327 TC Brachytx isodose calc interm 94.3977328 TC Brachytx isodose plan compl 107.9877331 TC Special radiation dosimetry (eg. TLD) 13.2877332 TC Treatment Devices = Radiation treatment aid(s), simple 35.7377333 TC Radiation treatment aid(s), intermediate 9.1777334 TC Radiation treatment aid(s), complex 62.0577336 Radiation physics consult, per week of tx; including QA 32.8377338 TC Radiation physics consult 107.9877370 Special medical radiation physics consultation 44.0577371 Stereotatic Radiation tx delivery, radiosurgery (SRS) 3,052.1977372 Stereotatic Radiation tx delivery, radiosurgery (SRS); linear accelerator based -77373 Stereotatic Radiation tx delivery, radiosurgery (SRS); per fraction to 1 or more -77399 TC External radiation dosimetry 44.0577401 Radiation treatment delivery 15.4577402-77407 Radiation treatment delivery 40.7377408-77416 Radiation treatment delivery 69.1777417 Radiology port film(s) -77418 Radiation tx delivery, intensity modulated, simple or mult., per trmt session 187.68 *Tarifas según Medicare (Marzo, 2012) Recuperados en: http://medicareespanol.fcso.com/Fichero_de_datos/228059.pdf Manual de Facturación de Servicios de Radiología/Radiación Oncológica 2012 Creado por Milca V. Martínez
  • 5. Continuacion: Códigos Descripción de Procedimientos Tarifas (Medicare)* 77422-77423 Neuron Beam tx delivery; any 69.17 77427 Radiation tx management, 5 trmts - 77431 Radiation therapy management, 1 or 2 fractions only - 77432 Stereotactic radiation trmt - 77470 TC Special radiation treatment 49.97 77499 Radiation therapy management 77520, 77522 Proton Beam trmt delivery, 484.42 simple w/o compensation and w comp 77523 Proton Beam trmt delivery, intermediate 633.69 77525 Proton Beam trmt delivery, complex 633.69 77600, 77605, 77610, 77615 Hyperthermia treatment 161.58 77620 TC Clinical Intracavitary Hypertermia treatment 161.58 77750 TC Infuse radioactive materials or 69.17 Infusion of radioelement solution 77761 TC Apply intrcav radiat simple 126.26 77762 TC Apply intrcav radiat interm 145.57 77763 TC Apply intrcav radiat compl 154.82 77776 TC Apply interstit radiat simpl 128.67 77777 TC Apply interstit radiat inter 134.23 77778 TC Apply interstit radiat compl 193.37 77781-77784 High intensity brachytherapy - 77789 TC Apply surface radiation 39.11 77790 Radiation handling - 77799 TC Radium/radioisotope therapy 154.82 Unlisted procedure, clinical brachytherapy*Tarifas según Medicare (Marzo, 2012) Recuperados en:http://medicareespanol.fcso.com/Fichero_de_datos/228059.pdfManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 6. Tabla 2. Diagnósticos más utilizados en Servicios de RadioterapiaCPT/HCPCS Codes COMPENSATOR-BASED BEAM MODULATION TREATMENT DELIVERY OF INVERSE PLANNED 0073T TREATMENT USING 3 OR MORE HIGH RESOLUTION (MILLED OR CAST) COMPENSATOR CONVERGENT BEAM MODULATED FIELDS, PER TREATMENT SESSION INTENSITY MODULATED RADIOTHERAPY PLAN, INCLUDING DOSE-VOLUME HISTOGRAMS FOR 77301 TARGET AND CRITICAL STRUCTURE PARTIAL TOLERANCE SPECIFICATIONS INTENSITY MODULATED TREATMENT DELIVERY, SINGLE OR MULTIPLE FIELDS/ARCS, VIA NARROW 77418 SPATIALLY AND TEMPORALLY MODULATED BEAMS, BINARY, DYNAMIC MLC, PER TREATMENT SESSIONICD-9 Codes that Support Medical NecessityMedicare is establishing the following limited coverage for CPT/HCPCS codes 0073T, 77301 and 77418:Covered for: 141.0 MALIGNANT NEOPLASM OF BASE OF TONGUE 141.1 MALIGNANT NEOPLASM OF DORSAL SURFACE OF TONGUE 141.2 MALIGNANT NEOPLASM OF TIP AND LATERAL BORDER OF TONGUE 141.3 MALIGNANT NEOPLASM OF VENTRAL SURFACE OF TONGUE 141.4 MALIGNANT NEOPLASM OF ANTERIOR TWO-THIRDS OF TONGUE PART UNSPECIFIED 141.5 MALIGNANT NEOPLASM OF JUNCTIONAL ZONE OF TONGUE 141.6 MALIGNANT NEOPLASM OF LINGUAL TONSIL 141.8 MALIGNANT NEOPLASM OF OTHER SITES OF TONGUE 141.9 MALIGNANT NEOPLASM OF TONGUE UNSPECIFIED 142.0 MALIGNANT NEOPLASM OF PAROTID GLAND 142.1 MALIGNANT NEOPLASM OF SUBMANDIBULAR GLAND 142.2 MALIGNANT NEOPLASM OF SUBLINGUAL GLAND 142.8 MALIGNANT NEOPLASM OF OTHER MAJOR SALIVARY GLANDS 142.9 MALIGNANT NEOPLASM OF SALIVARY GLAND UNSPECIFIED 144.0 MALIGNANT NEOPLASM OF ANTERIOR PORTION OF FLOOR OF MOUTH 144.1 MALIGNANT NEOPLASM OF LATERAL PORTION OF FLOOR OF MOUTH 144.8 MALIGNANT NEOPLASM OF OTHER SITES OF FLOOR OF MOUTH 144.9 MALIGNANT NEOPLASM OF FLOOR OF MOUTH PART UNSPECIFIED 145.0 MALIGNANT NEOPLASM OF CHEEK MUCOSA 145.1 MALIGNANT NEOPLASM OF VESTIBULE OF MOUTH 145.2 MALIGNANT NEOPLASM OF HARD PALATE 145.3 MALIGNANT NEOPLASM OF SOFT PALATE 145.4 MALIGNANT NEOPLASM OF UVULA 145.5 MALIGNANT NEOPLASM OF PALATE UNSPECIFIED 145.6 MALIGNANT NEOPLASM OF RETROMOLAR AREAManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 7. 145.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED PARTS OF MOUTH 145.9 MALIGNANT NEOPLASM OF MOUTH UNSPECIFIED 146.0 MALIGNANT NEOPLASM OF TONSIL 146.1 MALIGNANT NEOPLASM OF TONSILLAR FOSSA 146.2 MALIGNANT NEOPLASM OF TONSILLAR PILLARS (ANTERIOR) (POSTERIOR) 146.3 MALIGNANT NEOPLASM OF VALLECULA EPIGLOTTICA 146.4 MALIGNANT NEOPLASM OF ANTERIOR ASPECT OF EPIGLOTTIS 146.5 MALIGNANT NEOPLASM OF JUNCTIONAL REGION OF OROPHARYNX 146.6 MALIGNANT NEOPLASM OF LATERAL WALL OF OROPHARYNX 146.7 MALIGNANT NEOPLASM OF POSTERIOR WALL OF OROPHARYNX 146.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF OROPHARYNX 146.9 MALIGNANT NEOPLASM OF OROPHARYNX UNSPECIFIED SITE 147.0 MALIGNANT NEOPLASM OF SUPERIOR WALL OF NASOPHARYNX 147.1 MALIGNANT NEOPLASM OF POSTERIOR WALL OF NASOPHARYNX 147.2 MALIGNANT NEOPLASM OF LATERAL WALL OF NASOPHARYNX 147.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF NASOPHARYNX 147.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NASOPHARYNX 147.9 MALIGNANT NEOPLASM OF NASOPHARYNX UNSPECIFIED SITE 148.0 MALIGNANT NEOPLASM OF POSTCRICOID REGION OF HYPOPHARYNX 148.1 MALIGNANT NEOPLASM OF PYRIFORM SINUS 148.2 MALIGNANT NEOPLASM OF ARYEPIGLOTTIC FOLD HYPOPHARYNGEAL ASPECT 148.3 MALIGNANT NEOPLASM OF POSTERIOR HYPOPHARYNGEAL WALL 148.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF HYPOPHARYNX 148.9 MALIGNANT NEOPLASM OF HYPOPHARYNX UNSPECIFIED SITE 149.0 MALIGNANT NEOPLASM OF PHARYNX UNSPECIFIED 149.1 MALIGNANT NEOPLASM OF WALDEYERS RING 149.8 MALIGNANT NEOPLASM OF OTHER SITES WITHIN THE LIP AND ORAL CAVITY 149.9 MALIGNANT NEOPLASM OF ILL-DEFINED SITES WITHIN THE LIP AND ORAL CAVITY 150.0 MALIGNANT NEOPLASM OF CERVICAL ESOPHAGUS 150.1 MALIGNANT NEOPLASM OF THORACIC ESOPHAGUS 150.2 MALIGNANT NEOPLASM OF ABDOMINAL ESOPHAGUS 150.3 MALIGNANT NEOPLASM OF UPPER THIRD OF ESOPHAGUS 150.4 MALIGNANT NEOPLASM OF MIDDLE THIRD OF ESOPHAGUS 150.5 MALIGNANT NEOPLASM OF LOWER THIRD OF ESOPHAGUS 150.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED PART OF ESOPHAGUS 150.9 MALIGNANT NEOPLASM OF ESOPHAGUS UNSPECIFIED SITE 151.0 MALIGNANT NEOPLASM OF CARDIA 151.1 MALIGNANT NEOPLASM OF PYLORUSManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 8. 151.2 MALIGNANT NEOPLASM OF PYLORIC ANTRUM 151.3 MALIGNANT NEOPLASM OF FUNDUS OF STOMACH 151.4 MALIGNANT NEOPLASM OF BODY OF STOMACH 151.5 MALIGNANT NEOPLASM OF LESSER CURVATURE OF STOMACH UNSPECIFIED 151.6 MALIGNANT NEOPLASM OF GREATER CURVATURE OF STOMACH UNSPECIFIED 151.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF STOMACH 151.9 MALIGNANT NEOPLASM OF STOMACH UNSPECIFIED SITE 153.0 MALIGNANT NEOPLASM OF HEPATIC FLEXURE 153.1 MALIGNANT NEOPLASM OF TRANSVERSE COLON 153.2 MALIGNANT NEOPLASM OF DESCENDING COLON 153.3 MALIGNANT NEOPLASM OF SIGMOID COLON 153.4 MALIGNANT NEOPLASM OF CECUM 153.5 MALIGNANT NEOPLASM OF APPENDIX VERMIFORMIS 153.6 MALIGNANT NEOPLASM OF ASCENDING COLON 153.7 MALIGNANT NEOPLASM OF SPLENIC FLEXURE 153.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF LARGE INTESTINE 153.9 MALIGNANT NEOPLASM OF COLON UNSPECIFIED SITE 154.0 MALIGNANT NEOPLASM OF RECTOSIGMOID JUNCTION 154.1 MALIGNANT NEOPLASM OF RECTUM 154.2 MALIGNANT NEOPLASM OF ANAL CANAL 154.3 MALIGNANT NEOPLASM OF ANUS UNSPECIFIED SITE 154.8 MALIGNANT NEOPLASM OF OTHER SITES OF RECTUM RECTOSIGMOID JUNCTION AND ANUS 155.0 MALIGNANT NEOPLASM OF LIVER PRIMARY 155.1 MALIGNANT NEOPLASM OF INTRAHEPATIC BILE DUCTS 155.2 MALIGNANT NEOPLASM OF LIVER NOT SPECIFIED AS PRIMARY OR SECONDARY 156.0 MALIGNANT NEOPLASM OF GALLBLADDER 156.1 MALIGNANT NEOPLASM OF EXTRAHEPATIC BILE DUCTS 156.2 MALIGNANT NEOPLASM OF AMPULLA OF VATER MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF GALLBLADDER AND EXTRAHEPATIC BILE 156.8 DUCTS 156.9 MALIGNANT NEOPLASM OF BILIARY TRACT PART UNSPECIFIED SITE 157.0 MALIGNANT NEOPLASM OF HEAD OF PANCREAS 157.1 MALIGNANT NEOPLASM OF BODY OF PANCREAS 157.2 MALIGNANT NEOPLASM OF TAIL OF PANCREAS 157.3 MALIGNANT NEOPLASM OF PANCREATIC DUCT 157.4 MALIGNANT NEOPLASM OF ISLETS OF LANGERHANS 157.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF PANCREAS 157.9 MALIGNANT NEOPLASM OF PANCREAS PART UNSPECIFIED 158.0 MALIGNANT NEOPLASM OF RETROPERITONEUMManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 9. 158.8 MALIGNANT NEOPLASM OF SPECIFIED PARTS OF PERITONEUM 158.9 MALIGNANT NEOPLASM OF PERITONEUM UNSPECIFIED 160.0 MALIGNANT NEOPLASM OF NASAL CAVITIES 160.1 MALIGNANT NEOPLASM OF AUDITORY TUBE MIDDLE EAR AND MASTOID AIR CELLS 160.2 MALIGNANT NEOPLASM OF MAXILLARY SINUS 160.3 MALIGNANT NEOPLASM OF ETHMOIDAL SINUS 160.4 MALIGNANT NEOPLASM OF FRONTAL SINUS 160.5 MALIGNANT NEOPLASM OF SPHENOIDAL SINUS 160.8 MALIGNANT NEOPLASM OF OTHER ACCESSORY SINUSES 160.9 MALIGNANT NEOPLASM OF ACCESSORY SINUS UNSPECIFIED 161.0 MALIGNANT NEOPLASM OF GLOTTIS 161.1 MALIGNANT NEOPLASM OF SUPRAGLOTTIS 161.2 MALIGNANT NEOPLASM OF SUBGLOTTIS 161.3 MALIGNANT NEOPLASM OF LARYNGEAL CARTILAGES 161.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF LARYNX 161.9 MALIGNANT NEOPLASM OF LARYNX UNSPECIFIED 162.0 MALIGNANT NEOPLASM OF TRACHEA 162.2 MALIGNANT NEOPLASM OF MAIN BRONCHUS 162.3 MALIGNANT NEOPLASM OF UPPER LOBE BRONCHUS OR LUNG 162.4 MALIGNANT NEOPLASM OF MIDDLE LOBE BRONCHUS OR LUNG 162.5 MALIGNANT NEOPLASM OF LOWER LOBE BRONCHUS OR LUNG 162.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRONCHUS OR LUNG 162.9 MALIGNANT NEOPLASM OF BRONCHUS AND LUNG UNSPECIFIED 163.0 MALIGNANT NEOPLASM OF PARIETAL PLEURA 163.1 MALIGNANT NEOPLASM OF VISCERAL PLEURA 163.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF PLEURA 163.9 MALIGNANT NEOPLASM OF PLEURA UNSPECIFIED 164.0 MALIGNANT NEOPLASM OF THYMUS 164.1 MALIGNANT NEOPLASM OF HEART 164.2 MALIGNANT NEOPLASM OF ANTERIOR MEDIASTINUM 164.3 MALIGNANT NEOPLASM OF POSTERIOR MEDIASTINUM 164.8 MALIGNANT NEOPLASM OF OTHER PARTS OF MEDIASTINUM 164.9 MALIGNANT NEOPLASM OF MEDIASTINUM PART UNSPECIFIED 171.0 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF HEAD FACE AND NECK MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF UPPER LIMB INCLUDING 171.2 SHOULDER 171.3 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF LOWER LIMB INCLUDING HIP 171.4 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF THORAX 171.5 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF ABDOMENManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 10. 171.6 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF PELVIS 171.7 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF TRUNK UNSPECIFIED 171.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF CONNECTIVE AND OTHER SOFT TISSUE 171.9 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE SITE UNSPECIFIED 174.0 MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF FEMALE BREAST 174.1 MALIGNANT NEOPLASM OF CENTRAL PORTION OF FEMALE BREAST 174.2 MALIGNANT NEOPLASM OF UPPER-INNER QUADRANT OF FEMALE BREAST 174.3 MALIGNANT NEOPLASM OF LOWER-INNER QUADRANT OF FEMALE BREAST 174.4 MALIGNANT NEOPLASM OF UPPER-OUTER QUADRANT OF FEMALE BREAST 174.5 MALIGNANT NEOPLASM OF LOWER-OUTER QUADRANT OF FEMALE BREAST 174.6 MALIGNANT NEOPLASM OF AXILLARY TAIL OF FEMALE BREAST 174.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF FEMALE BREAST 174.9 MALIGNANT NEOPLASM OF BREAST (FEMALE) UNSPECIFIED SITE 175.0 MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF MALE BREAST 175.9 MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES OF MALE BREAST 179 MALIGNANT NEOPLASM OF UTERUS-PART UNS 180.0 MALIGNANT NEOPLASM OF ENDOCERVIX 180.1 MALIGNANT NEOPLASM OF EXOCERVIX 180.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF CERVIX 180.9 MALIGNANT NEOPLASM OF CERVIX UTERI UNSPECIFIED SITE 182.0 MALIGNANT NEOPLASM OF CORPUS UTERI EXCEPT ISTHMUS 182.1 MALIGNANT NEOPLASM OF ISTHMUS 182.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF BODY OF UTERUS 183.0 MALIGNANT NEOPLASM OF OVARY 183.2 MALIGNANT NEOPLASM OF FALLOPIAN TUBE 183.3 MALIGNANT NEOPLASM OF BROAD LIGAMENT OF UTERUS 183.4 MALIGNANT NEOPLASM OF PARAMETRIUM 183.5 MALIGNANT NEOPLASM OF ROUND LIGAMENT OF UTERUS 183.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF UTERINE ADNEXA 183.9 MALIGNANT NEOPLASM OF UTERINE ADNEXA UNSPECIFIED SITE 184.0 MALIGNANT NEOPLASM OF VAGINA 184.1 MALIGNANT NEOPLASM OF LABIA MAJORA 184.2 MALIGNANT NEOPLASM OF LABIA MINORA 184.3 MALIGNANT NEOPLASM OF CLITORIS 184.4 MALIGNANT NEOPLASM OF VULVA UNSPECIFIED SITE 184.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF FEMALE GENITAL ORGANS 184.9 MALIGNANT NEOPLASM OF FEMALE GENITAL ORGAN SITE UNSPECIFIED 185 MALIGNANT NEOPLASM OF PROSTATEManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 11. 188.0 MALIGNANT NEOPLASM OF TRIGONE OF URINARY BLADDER 188.1 MALIGNANT NEOPLASM OF DOME OF URINARY BLADDER 188.2 MALIGNANT NEOPLASM OF LATERAL WALL OF URINARY BLADDER 188.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF URINARY BLADDER 188.4 MALIGNANT NEOPLASM OF POSTERIOR WALL OF URINARY BLADDER 188.5 MALIGNANT NEOPLASM OF BLADDER NECK 188.6 MALIGNANT NEOPLASM OF URETERIC ORIFICE 188.7 MALIGNANT NEOPLASM OF URACHUS 188.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF BLADDER 188.9 MALIGNANT NEOPLASM OF BLADDER PART UNSPECIFIED 189.0 MALIGNANT NEOPLASM OF KIDNEY EXCEPT PELVIS 189.1 MALIGNANT NEOPLASM OF RENAL PELVIS 189.2 MALIGNANT NEOPLASM OF URETER 189.3 MALIGNANT NEOPLASM OF URETHRA 189.4 MALIGNANT NEOPLASM OF PARAURETHRAL GLANDS 189.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF URINARY ORGANS 189.9 MALIGNANT NEOPLASM OF URINARY ORGAN SITE UNSPECIFIED 190.0 MALIGNANT NEOPLASM OF EYEBALL EXCEPT CONJUNCTIVA CORNEA RETINA AND CHOROID 190.1 MALIGNANT NEOPLASM OF ORBIT 190.2 MALIGNANT NEOPLASM OF LACRIMAL GLAND 190.3 MALIGNANT NEOPLASM OF CONJUNCTIVA 190.4 MALIGNANT NEOPLASM OF CORNEA 190.5 MALIGNANT NEOPLASM OF RETINA 190.6 MALIGNANT NEOPLASM OF CHOROID 190.7 MALIGNANT NEOPLASM OF LACRIMAL DUCT 190.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF EYE 190.9 MALIGNANT NEOPLASM OF EYE PART UNSPECIFIED 191.0 MALIGNANT NEOPLASM OF CEREBRUM EXCEPT LOBES AND VENTRICLES 191.1 MALIGNANT NEOPLASM OF FRONTAL LOBE 191.2 MALIGNANT NEOPLASM OF TEMPORAL LOBE 191.3 MALIGNANT NEOPLASM OF PARIETAL LOBE 191.4 MALIGNANT NEOPLASM OF OCCIPITAL LOBE 191.5 MALIGNANT NEOPLASM OF VENTRICLES 191.6 MALIGNANT NEOPLASM OF CEREBELLUM NOS 191.7 MALIGNANT NEOPLASM OF BRAIN STEM 191.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRAIN 191.9 MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE 192.0 MALIGNANT NEOPLASM OF CRANIAL NERVESManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 12. 192.1 MALIGNANT NEOPLASM OF CEREBRAL MENINGES 192.2 MALIGNANT NEOPLASM OF SPINAL CORD 192.3 MALIGNANT NEOPLASM OF SPINAL MENINGES 192.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NERVOUS SYSTEM 192.9 MALIGNANT NEOPLASM OF NERVOUS SYSTEM PART UNSPECIFIED 193 MALIGNANT NEOPLASM OF THYROID GLAND 194.0 MALIGNANT NEOPLASM OF ADRENAL GLAND 194.1 MALIGNANT NEOPLASM OF PARATHYROID GLAND 194.5 MALIGNANT NEOPLASM OF CAROTID BODY 194.6 MALIGNANT NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA 195.0 MALIGNANT NEOPLASM OF HEAD FACE AND NECK 195.1 MALIGNANT NEOPLASM OF THORAX 195.2 MALIGNANT NEOPLASM OF ABDOMEN 195.3 MALIGNANT NEOPLASM OF PELVIS 195.4 MALIGNANT NEOPLASM OF UPPER LIMB 195.5 MALIGNANT NEOPLASM OF LOWER LIMB 195.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES 198.3 SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD 201.00 HODGKINS PARAGRANULOMA UNSPECIFIED SITE 201.01 HODGKINS PARAGRANULOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.02 HODGKINS PARAGRANULOMA INVOLVING INTRATHORACIC LYMPH NODES 201.03 HODGKINS PARAGRANULOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.04 HODGKINS PARAGRANULOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 201.05 HODGKINS PARAGRANULOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 201.06 HODGKINS PARAGRANULOMA INVOLVING INTRAPELVIC LYMPH NODES 201.07 HODGKINS PARAGRANULOMA INVOLVING SPLEEN 201.08 HODGKINS PARAGRANULOMA INVOLVING LYMPH NODES OF MULTIPLE SITES 201.10 HODGKINS GRANULOMA UNSPECIFIED SITE 201.11 HODGKINS GRANULOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.12 HODGKINS GRANULOMA INVOLVING INTRATHORACIC LYMPH NODES 201.13 HODGKINS GRANULOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.14 HODGKINS GRANULOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 201.15 HODGKINS GRANULOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 201.16 HODGKINS GRANULOMA INVOLVING INTRAPELVIC LYMPH NODES 201.17 HODGKINS GRANULOMA INVOLVING SPLEEN 201.18 HODGKINS GRANULOMA INVOLVING LYMPH NODES OF MULTIPLE SITES 201.20 HODGKINS SARCOMA UNSPECIFIED SITE 201.21 HODGKINS SARCOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECKManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 13. 201.22 HODGKINS SARCOMA INVOLVING INTRATHORACIC LYMPH NODES 201.23 HODGKINS SARCOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.24 HODGKINS SARCOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 201.25 HODGKINS SARCOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 201.26 HODGKINS SARCOMA INVOLVING INTRAPELVIC LYMPH NODES 201.27 HODGKINS SARCOMA INVOLVING SPLEEN 201.28 HODGKINS SARCOMA INVOLVING LYMPH NODES OF MULTIPLE SITES 201.40 HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE UNSPECIFIED SITE HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF 201.41 HEAD FACE AND NECK HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRATHORACIC 201.42 LYMPH NODES HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRA-ABDOMINAL 201.43 LYMPH NODES HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF 201.44 AXILLA AND UPPER LIMB HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF 201.45 INGUINAL REGION AND LOWER LIMB HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING INTRAPELVIC LYMPH 201.46 NODES 201.47 HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING SPLEEN HODGKINS DISEASE LYMPHOCYTIC-HISTIOCYTIC PREDOMINANCE INVOLVING LYMPH NODES OF 201.48 MULTIPLE SITES 201.50 HODGKINS DISEASE NODULAR SCLEROSIS UNSPECIFIED SITE 201.51 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.52 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING INTRATHORACIC LYMPH NODES 201.53 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.54 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND 201.55 LOWER LIMB 201.56 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING INTRAPELVIC LYMPH NODES 201.57 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING SPLEEN 201.58 HODGKINS DISEASE NODULAR SCLEROSIS INVOLVING LYMPH NODES OF MULTIPLE SITES 201.60 HODGKINS DISEASE MIXED CELLULARITY UNSPECIFIED SITE 201.61 HODGKINS DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.62 HODGKINS DISEASE MIXED CELLULARITY INVOLVING INTRATHORACIC LYMPH NODES 201.63 HODGKINS DISEASE MIXED CELLULARITY INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.64 HODGKINS DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB HODGKINS DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF INGUINAL REGION AND 201.65 LOWER LIMB 201.66 HODGKINS DISEASE MIXED CELLULARITY INVOLVING INTRAPELVIC LYMPH NODES 201.67 HODGKINS DISEASE MIXED CELLULARITY INVOLVING SPLEENManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 14. 201.68 HODGKINS DISEASE MIXED CELLULARITY INVOLVING LYMPH NODES OF MULTIPLE SITES 201.70 HODGKINS DISEASE LYMPHOCYTIC DEPLETION UNSPECIFIED SITE 201.71 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.72 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRATHORACIC LYMPH NODES 201.73 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRA-ABDOMINAL LYMPH NODES HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF AXILLA AND UPPER 201.74 LIMB HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF INGUINAL REGION 201.75 AND LOWER LIMB 201.76 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING INTRAPELVIC LYMPH NODES 201.77 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING SPLEEN 201.78 HODGKINS DISEASE LYMPHOCYTIC DEPLETION INVOLVING LYMPH NODES OF MULTIPLE SITES 201.90 HODGKINS DISEASE UNSPECIFIED TYPE UNSPECIFIED SITE 201.91 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF HEAD FACE AND NECK 201.92 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING INTRATHORACIC LYMPH NODES 201.93 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING INTRA-ABDOMINAL LYMPH NODES 201.94 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF INGUINAL REGION AND 201.95 LOWER LIMB 201.96 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING INTRAPELVIC LYMPH NODES 201.97 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING SPLEEN 201.98 HODGKINS DISEASE UNSPECIFIED TYPE INVOLVING LYMPH NODES OF MULTIPLE SITES 202.00 NODULAR LYMPHOMA UNSPECIFIED SITE 202.01 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.02 NODULAR LYMPHOMA INVOLVING INTRATHORACIC LYMPH NODES 202.03 NODULAR LYMPHOMA INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.04 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 202.05 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.06 NODULAR LYMPHOMA INVOLVING INTRAPELVIC LYMPH NODES 202.07 NODULAR LYMPHOMA INVOLVING SPLEEN 202.08 NODULAR LYMPHOMA INVOLVING LYMPH NODES OF MULTIPLE SITES 202.10 MYCOSIS FUNGOIDES UNSPECIFIED SITE 202.11 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.12 MYCOSIS FUNGOIDES INVOLVING INTRATHORACIC LYMPH NODES 202.13 MYCOSIS FUNGOIDES INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.14 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 202.15 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.16 MYCOSIS FUNGOIDES INVOLVING INTRAPELVIC LYMPH NODES 202.17 MYCOSIS FUNGOIDES INVOLVING SPLEENManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 15. 202.18 MYCOSIS FUNGOIDES INVOLVING LYMPH NODES OF MULTIPLE SITES 202.20 SEZARYS DISEASE UNSPECIFIED SITE 202.21 SEZARYS DISEASE INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.22 SEZARYS DISEASE INVOLVING INTRATHORACIC LYMPH NODES 202.23 SEZARYS DISEASE INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.24 SEZARYS DISEASE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 202.25 SEZARYS DISEASE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.26 SEZARYS DISEASE INVOLVING INTRAPELVIC LYMPH NODES 202.27 SEZARYS DISEASE INVOLVING SPLEEN 202.28 SEZARYS DISEASE INVOLVING LYMPH NODES OF MULTIPLE SITES 202.30 MALIGNANT HISTIOCYTOSIS UNSPECIFIED SITE 202.31 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.32 MALIGNANT HISTIOCYTOSIS INVOLVING INTRATHORACIC LYMPH NODES 202.33 MALIGNANT HISTIOCYTOSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.34 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 202.35 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.36 MALIGNANT HISTIOCYTOSIS INVOLVING INTRAPELVIC LYMPH NODES 202.37 MALIGNANT HISTIOCYTOSIS INVOLVING SPLEEN 202.38 MALIGNANT HISTIOCYTOSIS INVOLVING LYMPH NODES OF MULTIPLE SITES 202.40 LEUKEMIC RETICULOENDOTHELIOSIS UNSPECIFIED SITE 202.41 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.42 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRATHORACIC LYMPH NODES 202.43 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.44 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF AXILLA AND UPPER ARM LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER 202.45 LIMB 202.46 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING INTRAPELVIC LYMPH NODES 202.47 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING SPLEEN 202.48 LEUKEMIC RETICULOENDOTHELIOSIS INVOLVING LYMPH NODES OF MULTIPLE SITES 202.50 LETTERER-SIWE DISEASE UNSPECIFIED SITE 202.51 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.52 LETTERER-SIWE DISEASE INVOLVING INTRATHORACIC LYMPH NODES 202.53 LETTERER-SIWE DISEASE INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.54 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB 202.55 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.56 LETTERER-SIWE DISEASE INVOLVING INTRAPELVIC LYMPH NODES 202.57 LETTERER-SIWE DISEASE INVOLVING SPLEEN 202.58 LETTERER-SIWE DISEASE INVOLVING LYMPH NODES OF MULTIPLE SITES 202.60 MALIGNANT MAST CELL TUMORS UNSPECIFIED SITEManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 16. 202.61 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.62 MALIGNANT MAST CELL TUMORS INVOLVING INTRATHORACIC LYMPH NODES 202.63 MALIGNANT MAST CELL TUMORS INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.64 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER 202.65 LIMB 202.66 MALIGNANT MAST CELL TUMORS INVOLVING INTRAPELVIC LYMPH NODES 202.67 MALIGNANT MAST CELL TUMORS INVOLVING SPLEEN 202.68 MALIGNANT MAST CELL TUMORS INVOLVING LYMPH NODES OF MULTIPLE SITES 202.70 PERIPHERAL T CELL LYMPHOMA, UNSPECIFIED SITE, EXTRANODAL AND SOLID ORGAN SITES 202.71 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF HEAD, FACE, AND NECK 202.72 PERIPHERAL T CELL LYMPHOMA, INTRATHORACIC LYMPH NODES 202.73 PERIPHERAL T CELL LYMPHOMA, INTRA-ABDOMINAL LYMPH NODES 202.74 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF AXILLA AND UPPER LIMB 202.75 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF INGUINAL REGION AND LOWER LIMB 202.76 PERIPHERAL T CELL LYMPHOMA, INTRAPELVIC LYMPH NODES 202.77 PERIPHERAL T CELL LYMPHOMA, SPLEEN 202.78 PERIPHERAL T CELL LYMPHOMA, LYMPH NODES OF MULTIPLE SITES 202.80 OTHER MALIGNANT LYMPHOMAS UNSPECIFIED SITE 202.81 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF HEAD FACE AND NECK 202.82 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRATHORACIC LYMPH NODES 202.83 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRA-ABDOMINAL LYMPH NODES 202.84 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER 202.85 LIMB 202.86 OTHER MALIGNANT LYMPHOMAS INVOLVING INTRAPELVIC LYMPH NODES 202.87 OTHER MALIGNANT LYMPHOMAS INVOLVING SPLEEN 202.88 OTHER MALIGNANT LYMPHOMAS INVOLVING LYMPH NODES OF MULTIPLE SITES OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.90 UNSPECIFIED SITE OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.91 INVOLVING LYMPH NODES OF HEAD FACE AND NECK OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.92 INVOLVING INTRATHORACIC LYMPH NODES OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.93 INVOLVING INTRA-ABDOMINAL LYMPH NODES OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.94 INVOLVING LYMPH NODES OF AXILLA AND UPPER LIMB OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.95 INVOLVING LYMPH NODES OF INGUINAL REGION AND LOWER LIMB OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.96 INVOLVING INTRAPELVIC LYMPH NODESManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 17. OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.97 INVOLVING SPLEEN OTHER AND UNSPECIFIED MALIGNANT NEOPLASMS OF LYMPHOID AND HISTIOCYTIC TISSUE 202.98 INVOLVING LYMPH NODES OF MULTIPLE SITES 225.1 BENIGN NEOPLASM OF CRANIAL NERVES 225.2 BENIGN NEOPLASM OF CEREBRAL MENINGES 227.3 BENIGN NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 227.4 BENIGN NEOPLASM OF PINEAL GLAND 227.6 BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA 233.0 CARCINOMA IN SITU OF BREAST 747.81 CONGENITAL ANOMALIES OF CEREBROVASCULAR SYSTEMManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 18. CPT/HCPCS Codes RADIATION TREATMENT DELIVERY, STEREOTACTIC RADIOSURGERY (SRS), COMPLETE COURSE OF 77371 TREATMENT OF CRANIAL LESION(S) CONSISTING OF 1 SESSION; MULTI-SOURCE COBALT 60 BASED RADIATION TREATMENT DELIVERY, STEREOTACTIC RADIOSURGERY (SRS), COMPLETE COURSE OF 77372 TREATMENT OF CRANIAL LESION(S) CONSISTING OF 1 SESSION; LINEAR ACCELERATOR BASED STEREOTACTIC BODY RADIATION THERAPY, TREATMENT DELIVERY, PER FRACTION TO 1 OR MORE 77373 LESIONS, INCLUDING IMAGE GUIDANCE, ENTIRE COURSE NOT TO EXCEED 5 FRACTIONS IMAGE-GUIDED ROBOTIC LINEAR ACCELERATOR-BASED STEREOTACTIC RADIOSURGERY, COMPLETE G0339 COURSE OF THERAPY IN ONE SESSION OR FIRST SESSION OF FRACTIONATED TREATMENT IMAGE-GUIDED ROBOTIC LINEAR ACCELERATOR-BASED STEREOTACTIC RADIOSURGERY, DELIVERY INCLUDING COLLIMATOR CHANGES AND CUSTOM PLUGGING, FRACTIONATED TREATMENT, ALL G0340 LESIONS, PER SESSION, SECOND THROUGH FIFTH SESSIONS, MAXIMUM FIVE SESSIONS PER COURSE OF TREATMENTICD-9 Codes that Support Medical NecessityThese are the only covered ICD-9-CM codes that support medical necessity under this LCD for procedure codes 77371, 77372,77373, G0339 and G0340 for SRS: 147.0 MALIGNANT NEOPLASM OF SUPERIOR WALL OF NASOPHARYNX 147.1 MALIGNANT NEOPLASM OF POSTERIOR WALL OF NASOPHARYNX 147.2 MALIGNANT NEOPLASM OF LATERAL WALL OF NASOPHARYNX 147.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF NASOPHARYNX 147.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NASOPHARYNX 147.9 MALIGNANT NEOPLASM OF NASOPHARYNX UNSPECIFIED SITE 160.1 MALIGNANT NEOPLASM OF AUDITORY TUBE MIDDLE EAR AND MASTOID AIR CELLS 160.2 MALIGNANT NEOPLASM OF MAXILLARY SINUS 160.3 MALIGNANT NEOPLASM OF ETHMOIDAL SINUS 160.4 MALIGNANT NEOPLASM OF FRONTAL SINUS 160.5 MALIGNANT NEOPLASM OF SPHENOIDAL SINUS 160.8 MALIGNANT NEOPLASM OF OTHER ACCESSORY SINUSES 160.9 MALIGNANT NEOPLASM OF ACCESSORY SINUS UNSPECIFIED 170.2 MALIGNANT NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX 190.0 MALIGNANT NEOPLASM OF EYEBALL EXCEPT CONJUNCTIVA CORNEA RETINA AND CHOROID 190.1 MALIGNANT NEOPLASM OF ORBIT 190.2 MALIGNANT NEOPLASM OF LACRIMAL GLAND 190.3 MALIGNANT NEOPLASM OF CONJUNCTIVA 190.4 MALIGNANT NEOPLASM OF CORNEA 190.5 MALIGNANT NEOPLASM OF RETINA 190.6 MALIGNANT NEOPLASM OF CHOROID 190.7 MALIGNANT NEOPLASM OF LACRIMAL DUCT 190.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF EYE 190.9 MALIGNANT NEOPLASM OF EYE PART UNSPECIFIEDManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 19. 191.0 MALIGNANT NEOPLASM OF CEREBRUM EXCEPT LOBES AND VENTRICLES 191.1 MALIGNANT NEOPLASM OF FRONTAL LOBE 191.2 MALIGNANT NEOPLASM OF TEMPORAL LOBE 191.3 MALIGNANT NEOPLASM OF PARIETAL LOBE 191.4 MALIGNANT NEOPLASM OF OCCIPITAL LOBE 191.5 MALIGNANT NEOPLASM OF VENTRICLES 191.6 MALIGNANT NEOPLASM OF CEREBELLUM NOS 191.7 MALIGNANT NEOPLASM OF BRAIN STEM 191.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRAIN 191.9 MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE 192.0 MALIGNANT NEOPLASM OF CRANIAL NERVES 192.1 MALIGNANT NEOPLASM OF CEREBRAL MENINGES 192.3 MALIGNANT NEOPLASM OF SPINAL MENINGES 194.3 MALIGNANT NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 194.4 MALIGNANT NEOPLASM OF PINEAL GLAND 194.6 MALIGNANT NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA 198.3 SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD 198.4* SECONDARY MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM 198.89* SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES 213.2 BENIGN NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX 225.0 BENIGN NEOPLASM OF BRAIN 225.1 BENIGN NEOPLASM OF CRANIAL NERVES 225.2 BENIGN NEOPLASM OF CEREBRAL MENINGES 225.3 BENIGN NEOPLASM OF SPINAL CORD 225.4 BENIGN NEOPLASM OF SPINAL MENINGES 227.3 BENIGN NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 227.4 BENIGN NEOPLASM OF PINEAL GLAND 227.6 BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA 228.02 HEMANGIOMA OF INTRACRANIAL STRUCTURES 234.8* CARCINOMA IN SITU OF OTHER SPECIFIED SITES 237.0 NEOPLASM OF UNCERTAIN BEHAVIOR OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 237.1 NEOPLASM OF UNCERTAIN BEHAVIOR OF PINEAL GLAND 237.3 NEOPLASM OF UNCERTAIN BEHAVIOR OF PARAGANGLIA 237.5* NEOPLASM OF UNCERTAIN BEHAVIOR OF BRAIN AND SPINAL CORD 237.6* NEOPLASM OF UNCERTAIN BEHAVIOR OF MENINGES 239.6* NEOPLASM OF UNSPECIFIED NATURE OF BRAIN NEOPLASM OF UNSPECIFIED NATURE OF ENDOCRINE GLANDS AND OTHER PARTS OF NERVOUS 239.7* SYSTEM 255.3 OTHER CORTICOADRENAL OVERACTIVITYManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 20. 332.0 PARALYSIS AGITANS 333.1* ESSENTIAL AND OTHER SPECIFIED FORMS OF TREMOR 350.1 TRIGEMINAL NEURALGIA 350.8 OTHER SPECIFIED TRIGEMINAL NERVE DISORDERS 351.1 GENICULATE GANGLIONITIS 351.8 OTHER FACIAL NERVE DISORDERS 351.9 FACIAL NERVE DISORDER UNSPECIFIED 352.0* DISORDERS OF OLFACTORY (1ST) NERVE 352.1* GLOSSOPHARYNGEAL NEURALGIA 352.2* OTHER DISORDERS OF GLOSSOPHARYNGEAL (9TH) NERVE 352.3* DISORDERS OF PNEUMOGASTRIC (10TH) NERVE 352.4* DISORDERS OF ACCESSORY (11TH) NERVE 352.5* DISORDERS OF HYPOGLOSSAL (12TH) NERVE 352.6* MULTIPLE CRANIAL NERVE PALSIES 352.9* UNSPECIFIED DISORDER OF CRANIAL NERVES 747.81* CONGENITAL ANOMALIES OF CEREBROVASCULAR SYSTEM 747.82 SPINAL VESSEL ANOLMALYThese are the only covered ICD-9-CM codes that support medical necessity under this LCD for procedure codes 77373, G0339and G0340 for SBRT: 147.0 MALIGNANT NEOPLASM OF SUPERIOR WALL OF NASOPHARYNX 147.1 MALIGNANT NEOPLASM OF POSTERIOR WALL OF NASOPHARYNX 147.2 MALIGNANT NEOPLASM OF LATERAL WALL OF NASOPHARYNX 147.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF NASOPHARYNX 147.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NASOPHARYNX 147.9 MALIGNANT NEOPLASM OF NASOPHARYNX UNSPECIFIED SITE 155.0 MALIGNANT NEOPLASM OF LIVER PRIMARY 155.1 MALIGNANT NEOPLASM OF INTRAHEPATIC BILE DUCTS 155.2 MALIGNANT NEOPLASM OF LIVER NOT SPECIFIED AS PRIMARY OR SECONDARY 157.0 MALIGNANT NEOPLASM OF HEAD OF PANCREAS 157.1 MALIGNANT NEOPLASM OF BODY OF PANCREAS 157.2 MALIGNANT NEOPLASM OF TAIL OF PANCREAS 157.3 MALIGNANT NEOPLASM OF PANCREATIC DUCT 157.4 MALIGNANT NEOPLASM OF ISLETS OF LANGERHANS 157.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF PANCREAS 157.9 MALIGNANT NEOPLASM OF PANCREAS PART UNSPECIFIED 162.0 MALIGNANT NEOPLASM OF TRACHEA 162.2 MALIGNANT NEOPLASM OF MAIN BRONCHUS 162.3 MALIGNANT NEOPLASM OF UPPER LOBE BRONCHUS OR LUNGManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 21. 162.4 MALIGNANT NEOPLASM OF MIDDLE LOBE BRONCHUS OR LUNG 162.5 MALIGNANT NEOPLASM OF LOWER LOBE BRONCHUS OR LUNG 162.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRONCHUS OR LUNG 162.9 MALIGNANT NEOPLASM OF BRONCHUS AND LUNG UNSPECIFIED 189.0 MALIGNANT NEOPLASM OF KIDNEY EXCEPT PELVIS 189.1 MALIGNANT NEOPLASM OF RENAL PELVIS 194.0 MALIGNANT NEOPLASM OF ADRENAL GLAND 197.0 SECONDARY MALIGNANT NEOPLASM OF LUNG 197.7 MALIGNANT NEOPLASM OF LIVER SECONDARY 197.8* SECONDARY MALIGNANT NEOPLASM OF OTHER DIGESTIVE ORGANS AND SPLEEN 198.0 SECONDARY MALIGNANT NEOPLASM OF KIDNEY 198.3 SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD 198.4* SECONDARY MALIGNANT NEOPLASM OF OTHER PARTS OF NERVOUS SYSTEM 198.89* SECONDARY MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES 227.6 BENIGN NEOPLASM OF AORTIC BODY AND OTHER PARAGANGLIA 234.8 CARCINOMA IN SITU OF OTHER SPECIFIED SITES 237.3 NEOPLASM OF UNCERTAIN BEHAVIOR OF PARAGANGLIA 239.7* NEOPLASM OF UNSPECIFIED NATURE OF ENDOCRINE GLANDS AND OTHER PARTS OF NERVOUS SYST.Manual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 22. CPT/HCPCS CodesNote: Other CPT/HCPCS codes may be appropriate (i.e., treatment planning, dosimetry, port films, etc.) 77520 PROTON TREATMENT DELIVERY; SIMPLE, WITHOUT COMPENSATION 77522 PROTON TREATMENT DELIVERY; SIMPLE, WITH COMPENSATION 77523 PROTON TREATMENT DELIVERY; INTERMEDIATE 77525 PROTON TREATMENT DELIVERY; COMPLEXICD-9 Codes that Support Medical NecessityGroup #1 Listing 170.0 MALIGNANT NEOPLASM OF BONES OF SKULL AND FACE EXCEPT MANDIBLE 170.1 MALIGNANT NEOPLASM OF MANDIBLE 170.2 MALIGNANT NEOPLASM OF VERTEBRAL COLUMN EXCLUDING SACRUM AND COCCYX 170.3 MALIGNANT NEOPLASM OF RIBS STERNUM AND CLAVICLE 170.4 MALIGNANT NEOPLASM OF SCAPULA AND LONG BONES OF UPPER LIMB 170.5 MALIGNANT NEOPLASM OF SHORT BONES OF UPPER LIMB 170.6 MALIGNANT NEOPLASM OF PELVIC BONES SACRUM AND COCCYX 170.7 MALIGNANT NEOPLASM OF LONG BONES OF LOWER LIMB 170.8 MALIGNANT NEOPLASM OF SHORT BONES OF LOWER LIMB 170.9 MALIGNANT NEOPLASM OF BONE AND ARTICULAR CARTILAGE SITE UNSPECIFIED 171.0 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF HEAD FACE AND NECK 171.2 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF UPPER LIMB INC. SHOULDER 171.3 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF LOWER LIMB INCLUDING HIP 171.4 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF THORAX 171.5 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF ABDOMEN 171.6 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF PELVIS 171.7 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE OF TRUNK UNSPECIFIED 171.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF CONNECTIVE AND OTHER SOFT TISSUE 171.9 MALIGNANT NEOPLASM OF CONNECTIVE AND OTHER SOFT TISSUE SITE UNSPEC. 189.0 MALIGNANT NEOPLASM OF KIDNEY EXCEPT PELVIS 190.0 MALIGNANT NEOPLASM OF EYEBALL EXCEPT CONJUNCTIVA CORNEA RETINA AND CHOROID 190.1 MALIGNANT NEOPLASM OF ORBIT 190.2 MALIGNANT NEOPLASM OF LACRIMAL GLAND 190.3 MALIGNANT NEOPLASM OF CONJUNCTIVA 190.4 MALIGNANT NEOPLASM OF CORNEA 190.5 MALIGNANT NEOPLASM OF RETINA 190.6 MALIGNANT NEOPLASM OF CHOROID 190.7 MALIGNANT NEOPLASM OF LACRIMAL DUCT 190.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF EYEManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 23. 190.9 MALIGNANT NEOPLASM OF EYE PART UNSPECIFIED 191.0 MALIGNANT NEOPLASM OF CEREBRUM EXCEPT LOBES AND VENTRICLES 191.1 MALIGNANT NEOPLASM OF FRONTAL LOBE 191.2 MALIGNANT NEOPLASM OF TEMPORAL LOBE 191.3 MALIGNANT NEOPLASM OF PARIETAL LOBE 191.4 MALIGNANT NEOPLASM OF OCCIPITAL LOBE 191.5 MALIGNANT NEOPLASM OF VENTRICLES 191.6 MALIGNANT NEOPLASM OF CEREBELLUM NOS 191.7 MALIGNANT NEOPLASM OF BRAIN STEM 191.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRAIN 191.9 MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE 192.0 MALIGNANT NEOPLASM OF CRANIAL NERVES 192.1 MALIGNANT NEOPLASM OF CEREBRAL MENINGES 192.2 MALIGNANT NEOPLASM OF SPINAL CORD 192.3 MALIGNANT NEOPLASM OF SPINAL MENINGES 192.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NERVOUS SYSTEM 194.3 MALIGNANT NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 194.4 MALIGNANT NEOPLASM OF PINEAL GLAND 198.3 SECONDARY MALIGNANT NEOPLASM OF BRAIN AND SPINAL CORD 225.0 BENIGN NEOPLASM OF BRAIN 225.1 BENIGN NEOPLASM OF CRANIAL NERVES 225.2 BENIGN NEOPLASM OF CEREBRAL MENINGES 225.3 BENIGN NEOPLASM OF SPINAL CORD 225.4 BENIGN NEOPLASM OF SPINAL MENINGES 225.8 BENIGN NEOPLASM OF OTHER SPECIFIED SITES OF NERVOUS SYSTEM 227.3 BENIGN NEOPLASM OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 227.4 BENIGN NEOPLASM OF PINEAL GLAND 237.0 NEOPLASM OF UNCERTAIN BEHAVIOR OF PITUITARY GLAND AND CRANIOPHARYNGEAL DUCT 237.1 NEOPLASM OF UNCERTAIN BEHAVIOR OF PINEAL GLAND 237.5 NEOPLASM OF UNCERTAIN BEHAVIOR OF BRAIN AND SPINAL CORD 237.6 NEOPLASM OF UNCERTAIN BEHAVIOR OF MENINGES 747.81 CONGENITAL ANOMALIES OF CEREBROVASCULAR SYSTEMGroup #2 Listing 141.0 MALIGNANT NEOPLASM OF BASE OF TONGUE 142.0 MALIGNANT NEOPLASM OF PAROTID GLAND 142.1 MALIGNANT NEOPLASM OF SUBMANDIBULAR GLAND 142.2 MALIGNANT NEOPLASM OF SUBLINGUAL GLAND 143.0 MALIGNANT NEOPLASM OF UPPER GUMManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 24. 143.1 MALIGNANT NEOPLASM OF LOWER GUM 144.0 MALIGNANT NEOPLASM OF ANTERIOR PORTION OF FLOOR OF MOUTH 144.1 MALIGNANT NEOPLASM OF LATERAL PORTION OF FLOOR OF MOUTH 144.8 MALIGNANT NEOPLASM OF OTHER SITES OF FLOOR OF MOUTH 144.9 MALIGNANT NEOPLASM OF FLOOR OF MOUTH PART UNSPECIFIED 145.0 MALIGNANT NEOPLASM OF CHEEK MUCOSA 145.1 MALIGNANT NEOPLASM OF VESTIBULE OF MOUTH 145.2 MALIGNANT NEOPLASM OF HARD PALATE 145.3 MALIGNANT NEOPLASM OF SOFT PALATE 145.4 MALIGNANT NEOPLASM OF UVULA 145.5 MALIGNANT NEOPLASM OF PALATE UNSPECIFIED 145.6 MALIGNANT NEOPLASM OF RETROMOLAR AREA 145.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED PARTS OF MOUTH 145.9 MALIGNANT NEOPLASM OF MOUTH UNSPECIFIED 146.0 MALIGNANT NEOPLASM OF TONSIL 146.1 MALIGNANT NEOPLASM OF TONSILLAR FOSSA 146.2 MALIGNANT NEOPLASM OF TONSILLAR PILLARS (ANTERIOR) (POSTERIOR) 146.3 MALIGNANT NEOPLASM OF VALLECULA EPIGLOTTICA 146.4 MALIGNANT NEOPLASM OF ANTERIOR ASPECT OF EPIGLOTTIS 146.5 MALIGNANT NEOPLASM OF JUNCTIONAL REGION OF OROPHARYNX 146.6 MALIGNANT NEOPLASM OF LATERAL WALL OF OROPHARYNX 146.7 MALIGNANT NEOPLASM OF POSTERIOR WALL OF OROPHARYNX 146.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF OROPHARYNX 146.9 MALIGNANT NEOPLASM OF OROPHARYNX UNSPECIFIED SITE 147.0 MALIGNANT NEOPLASM OF SUPERIOR WALL OF NASOPHARYNX 147.1 MALIGNANT NEOPLASM OF POSTERIOR WALL OF NASOPHARYNX 147.2 MALIGNANT NEOPLASM OF LATERAL WALL OF NASOPHARYNX 147.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF NASOPHARYNX 147.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF NASOPHARYNX 147.9 MALIGNANT NEOPLASM OF NASOPHARYNX UNSPECIFIED SITE 148.0 MALIGNANT NEOPLASM OF POSTCRICOID REGION OF HYPOPHARYNX 148.1 MALIGNANT NEOPLASM OF PYRIFORM SINUS 148.2 MALIGNANT NEOPLASM OF ARYEPIGLOTTIC FOLD HYPOPHARYNGEAL ASPECT 148.3 MALIGNANT NEOPLASM OF POSTERIOR HYPOPHARYNGEAL WALL 148.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF HYPOPHARYNX 148.9 MALIGNANT NEOPLASM OF HYPOPHARYNX UNSPECIFIED SITE 149.0 MALIGNANT NEOPLASM OF PHARYNX UNSPECIFIED 149.1 MALIGNANT NEOPLASM OF WALDEYERS RINGManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 25. 154.0 MALIGNANT NEOPLASM OF RECTOSIGMOID JUNCTION 154.1 MALIGNANT NEOPLASM OF RECTUM 154.2 MALIGNANT NEOPLASM OF ANAL CANAL 154.3 MALIGNANT NEOPLASM OF ANUS UNSPECIFIED SITE 154.8 MALIGNANT NEOPLASM OF OTHER SITES OF RECTUM RECTOSIGMOID JUNCTION AND ANUS 155.0 MALIGNANT NEOPLASM OF LIVER PRIMARY 155.1 MALIGNANT NEOPLASM OF INTRAHEPATIC BILE DUCTS 155.2 MALIGNANT NEOPLASM OF LIVER NOT SPECIFIED AS PRIMARY OR SECONDARY 157.0 MALIGNANT NEOPLASM OF HEAD OF PANCREAS 157.1 MALIGNANT NEOPLASM OF BODY OF PANCREAS 157.2 MALIGNANT NEOPLASM OF TAIL OF PANCREAS 157.3 MALIGNANT NEOPLASM OF PANCREATIC DUCT 157.4 MALIGNANT NEOPLASM OF ISLETS OF LANGERHANS 157.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF PANCREAS 157.9 MALIGNANT NEOPLASM OF PANCREAS PART UNSPECIFIED 158.0 MALIGNANT NEOPLASM OF RETROPERITONEUM 160.0 MALIGNANT NEOPLASM OF NASAL CAVITIES 160.1 MALIGNANT NEOPLASM OF AUDITORY TUBE MIDDLE EAR AND MASTOID AIR CELLS 160.2 MALIGNANT NEOPLASM OF MAXILLARY SINUS 160.3 MALIGNANT NEOPLASM OF ETHMOIDAL SINUS 160.4 MALIGNANT NEOPLASM OF FRONTAL SINUS 160.5 MALIGNANT NEOPLASM OF SPHENOIDAL SINUS 160.8 MALIGNANT NEOPLASM OF OTHER ACCESSORY SINUSES 160.9 MALIGNANT NEOPLASM OF ACCESSORY SINUS UNSPECIFIED 161.0 MALIGNANT NEOPLASM OF GLOTTIS 161.1 MALIGNANT NEOPLASM OF SUPRAGLOTTIS 161.2 MALIGNANT NEOPLASM OF SUBGLOTTIS 161.3 MALIGNANT NEOPLASM OF LARYNGEAL CARTILAGES 161.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF LARYNX 161.9 MALIGNANT NEOPLASM OF LARYNX UNSPECIFIED 162.0 MALIGNANT NEOPLASM OF TRACHEA 162.2 MALIGNANT NEOPLASM OF MAIN BRONCHUS 162.3 MALIGNANT NEOPLASM OF UPPER LOBE BRONCHUS OR LUNG 162.4 MALIGNANT NEOPLASM OF MIDDLE LOBE BRONCHUS OR LUNG 162.5 MALIGNANT NEOPLASM OF LOWER LOBE BRONCHUS OR LUNG 162.8 MALIGNANT NEOPLASM OF OTHER PARTS OF BRONCHUS OR LUNG 162.9 MALIGNANT NEOPLASM OF BRONCHUS AND LUNG UNSPECIFIED 164.0 MALIGNANT NEOPLASM OF THYMUSManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 26. 164.1 MALIGNANT NEOPLASM OF HEART 164.2 MALIGNANT NEOPLASM OF ANTERIOR MEDIASTINUM 164.3 MALIGNANT NEOPLASM OF POSTERIOR MEDIASTINUM 173.00 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF LIP 173.01 BASAL CELL CARCINOMA OF SKIN OF LIP 173.02 SQUAMOUS CELL CARCINOMA OF SKIN OF LIP 173.09 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LIP 173.10 UNSPECIFIED MALIGNANT NEOPLASM OF EYELID, INCLUDING CANTHUS 173.11 BASAL CELL CARCINOMA OF EYELID, INCLUDING CANTHUS 173.12 SQUAMOUS CELL CARCINOMA OF EYELID, INCLUDING CANTHUS 173.19 OTHER SPECIFIED MALIGNANT NEOPLASM OF EYELID, INCLUDING CANTHUS 173.20 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL 173.21 BASAL CELL CARCINOMA OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL 173.22 SQUAMOUS CELL CARCINOMA OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL 173.29 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF EAR AND EXTERNAL AUDITORY CANAL 173.30 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE 173.31 BASAL CELL CARCINOMA OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE 173.32 SQUAMOUS CELL CARCINOMA OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE 173.39 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF OTHER AND UNSPECIFIED PARTS OF FACE 173.40 UNSPECIFIED MALIGNANT NEOPLASM OF SCALP AND SKIN OF NECK 173.41 BASAL CELL CARCINOMA OF SCALP AND SKIN OF NECK 173.42 SQUAMOUS CELL CARCINOMA OF SCALP AND SKIN OF NECK 173.49 OTHER SPECIFIED MALIGNANT NEOPLASM OF SCALP AND SKIN OF NECK 173.50 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF TRUNK, EXCEPT SCROTUM 173.51 BASAL CELL CARCINOMA OF SKIN OF TRUNK, EXCEPT SCROTUM 173.52 SQUAMOUS CELL CARCINOMA OF SKIN OF TRUNK, EXCEPT SCROTUM 173.59 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF TRUNK, EXCEPT SCROTUM 173.60 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER 173.61 BASAL CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER 173.62 SQUAMOUS CELL CARCINOMA OF SKIN OF UPPER LIMB, INCLUDING SHOULDER 173.69 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF UPPER LIMB, INCLUDING SHOULDER 173.70 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN OF LOWER LIMB, INCLUDING HIP 173.71 BASAL CELL CARCINOMA OF SKIN OF LOWER LIMB, INCLUDING HIP 173.72 SQUAMOUS CELL CARCINOMA OF SKIN OF LOWER LIMB, INCLUDING HIP 173.79 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN OF LOWER LIMB, INCLUDING HIP 173.80 UNSPECIFIED MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF SKIN 173.81 BASAL CELL CARCINOMA OF OTHER SPECIFIED SITES OF SKIN 173.82 SQUAMOUS CELL CARCINOMA OF OTHER SPECIFIED SITES OF SKINManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 27. 173.89 OTHER SPECIFIED MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF SKIN 173.90 UNSPECIFIED MALIGNANT NEOPLASM OF SKIN, SITE UNSPECIFIED 173.91 BASAL CELL CARCINOMA OF SKIN, SITE UNSPECIFIED 173.92 SQUAMOUS CELL CARCINOMA OF SKIN, SITE UNSPECIFIED 173.99 OTHER SPECIFIED MALIGNANT NEOPLASM OF SKIN, SITE UNSPECIFIED 174.0 MALIGNANT NEOPLASM OF NIPPLE AND AREOLA OF FEMALE BREAST 174.1 MALIGNANT NEOPLASM OF CENTRAL PORTION OF FEMALE BREAST 174.2 MALIGNANT NEOPLASM OF UPPER-INNER QUADRANT OF FEMALE BREAST 174.3 MALIGNANT NEOPLASM OF LOWER-INNER QUADRANT OF FEMALE BREAST 174.4 MALIGNANT NEOPLASM OF UPPER-OUTER QUADRANT OF FEMALE BREAST 174.5 MALIGNANT NEOPLASM OF LOWER-OUTER QUADRANT OF FEMALE BREAST 174.6 MALIGNANT NEOPLASM OF AXILLARY TAIL OF FEMALE BREAST 180.0 MALIGNANT NEOPLASM OF ENDOCERVIX 180.1 MALIGNANT NEOPLASM OF EXOCERVIX 180.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF CERVIX 183.0 MALIGNANT NEOPLASM OF OVARY 184.0 MALIGNANT NEOPLASM OF VAGINA 185 MALIGNANT NEOPLASM OF PROSTATE 188.0 MALIGNANT NEOPLASM OF TRIGONE OF URINARY BLADDER 188.1 MALIGNANT NEOPLASM OF DOME OF URINARY BLADDER 188.2 MALIGNANT NEOPLASM OF LATERAL WALL OF URINARY BLADDER 188.3 MALIGNANT NEOPLASM OF ANTERIOR WALL OF URINARY BLADDER 188.4 MALIGNANT NEOPLASM OF POSTERIOR WALL OF URINARY BLADDER 188.5 MALIGNANT NEOPLASM OF BLADDER NECK 188.6 MALIGNANT NEOPLASM OF URETERIC ORIFICE 188.7 MALIGNANT NEOPLASM OF URACHUS 188.8 MALIGNANT NEOPLASM OF OTHER SPECIFIED SITES OF BLADDER 188.9 MALIGNANT NEOPLASM OF BLADDER PART UNSPECIFIED 193 MALIGNANT NEOPLASM OF THYROID GLAND 194.1 MALIGNANT NEOPLASM OF PARATHYROID GLAND 195.1 MALIGNANT NEOPLASM OF THORAX 195.2 MALIGNANT NEOPLASM OF ABDOMEN 195.3 MALIGNANT NEOPLASM OF PELVIS 197.0 SECONDARY MALIGNANT NEOPLASM OF LUNG 197.7 MALIGNANT NEOPLASM OF LIVER SECONDARY REFERENCIASManual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez
  • 28. FCSO.com. (2012). Recuperado enhttp://medicareespanol.fcso.com/Fichero_de_datos/228059.pdfhttp://medicareespanol.fcso.com/coberturas_medicas/lcd_search.asphttp://medicareespanol.fcso.com/Tablas_de_tarifas/LCDDisplay.asp?id=L29352http://medicareespanol.fcso.com/Tablas_de_tarifas/LCDDisplay.asp?id=L29070http://medicareespanol.fcso.com/Tablas_de_tarifas/LCDDisplay.asp?id=L30366Manual de Facturación de Servicios de Radiología/Radiación Oncológica 2012Creado por Milca V. Martínez