| A | B |
|---|
| Verification Simulation | 77280 |
| SBRT Treatment Delivery, 2nd-5th Fractions, HCPCS | G0340 |
| Physics QA | 77336 |
| IGRT (kVkV, CBCT) | 77387-26 |
| 3D Photon, single isocenter, no active motion management | 77407 |
| 3D Photon, multiple isocenter | 77412 |
| 3D Photon, single isocenter, with active motion management | 77412 |
| New Patient Office Visit (Consult), Level 5 | 99205 |
| SBRT Treatment Delivery, 1st Fraction, HCPCS | G0339 |
| IMRT Photon, single isocenter, without active motion managment | 77407 |
| IMRT Photon, multiple isocenters | 77412 |
| IMRT Photon and electron boost | 77412 |
| IMRT Photon, single isocenter, with active motion management | 77412 |
| SRS Treatment Delivery (total course: 1 fraction to cranial lesion), CPT | 77372 |
| SBRT Treatment Delivery, CPT | 77373 |
| Basic Dosimetry Calculation | 77300 |
| Special Physics Consult | 77370 |
| Established Patient Office Visit, Level 3 | 99213 |
| Treatment Device, Intermediate | 77333 |
| Treatment Device, Complex | 77334 |
| Special Treatment Procedure | 77470 |
| On-Treatment Visit (OTV) | 77427 |
| Treatment Device, Simple | 77332 |
| 3D Treatment Plan | 77295 |
| Initial CT Simulation & Setup | 77290 |
| Multi-Leaf Collimator (MLC) | 77280 |
| IMRT Treatment Plan | 77301 |
| Clinical Treatment Plan (complex) | 77263 |
| Electron, single field | 77402 |
| Electron, multiple fields | 77402 |
