| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
G6017 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
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 |
| HCPCS Short Description |
Intrafraction track motion |
| HCPCS Pricing Indicator Code 1 |
13 - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
P6C - Minor procedures - other (Medicare fee schedule) |
| HCPCS Type Of Service Code 1 |
6 - Therapeutic radiology |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2015 |
| HCPCS Action Effective Date |
1/1/2015 |
| HCPCS Action Code |
N - No maintenance for this code |