LCD Reference Article Response To Comments Article

Response to Comments: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)

A57921

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Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Source Article ID
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Article ID
A57921
Original ICD-9 Article ID
Not Applicable
Article Title
Response to Comments: Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
Article Type
Response to Comments
Original Effective Date
04/01/2020
Revision Effective Date
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Revision Ending Date
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As an important part of Medicare Local Coverage Determination (LCD) development, National Government Services solicits comments from the provider community and from members of the public who may be affected by or interested in our LCDs. The purpose of the advice and comment process is to gain the expertise and experience of those commenting.

We would like to thank those who suggested changes to the Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) LCD. The official notice period for the final LCD begins on February 13, 2020, and the final determination will become effective on April 1, 2020.

 

Response To Comments

Number Comment Response
1

AANS commented in support of the proposed changes to add "choroidal and other melanomas" as an indication. They requested the following CPT codes be added; 61800 - Application of stereotactic headframe for stereotactic radiosurgery, 61796 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 simple cranial lesion, 61797 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each additional cranial lesion, simple, 61798 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 complex cranial lesion, 61799 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each additional cranial lesion, complex, 63620 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 spinal lesion, and 63621 - Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each additional spinal lesion.    

Thank you. NGS agrees to add the requested CPT codes.

2

Commenter supports the proposed revision to the LCD stating: "we support the language proposed in the draft LCD that refers to "choroidal and other ocular melanomas" and we support the proposed addition of ICD-10 codes C69.31 and C69.32 to the list of Group 1 codes in the draft billing and coding article (DA56874)."

Thank you.

3

The American Society for Radiation Oncology (ASTRO) commented in support of the proposed changes to the LCD.

"The American Society for Radiation Oncology (ASTRO) would like to comment in support of the proposal to add choroidal melanoma as an indication for SRS to National Government Services, Inc.’s (NGS) proposed Local Coverage Determination (LCD) Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT) (DL35076)." 

Thank you.

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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
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Updated On Effective Dates Status
02/07/2020 04/01/2020 - N/A Currently in Effect You are here

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