Question 1

What is HCPCS code G6013?

Accepted Answer

HCPCS code G6013 is "Radiation treatment delivery". Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev

Question 2

What category is G6013 in?

Accepted Answer

G6013 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G6013?

Accepted Answer

Use G6013 when billing for radiation treatment delivery. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G6013 covered by Medicare?

Accepted Answer

Coverage for G6013 (Radiation treatment delivery) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G6013?

Accepted Answer

Documentation for G6013 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).