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October 14, 2025

Services Bundled into Treatment Management Codes

Medicare Part B considers these services bundled into the overall payment for radiation therapy. Providers should not expect separate reimbursement when the following services are rendered by the radiation oncologist or in conjunction with radiation therapy:

11920 11921 11922 16000 16010
16015 16020 16025 16030 36425
53670 53675 99211* 99212* 99213*
99214 99215 99238 99281 99282
99283 99284 99285 90780 90781
90847 99050 99052 99054 99058
99071 99090 99185 99371 99372
99373  
  • Anesthesia
  • Care of Infected Skin
  • Checking Treatment Charts
  • Verification of Dosage, As Needed
  • Continued Patient Evaluation, Examination, Written Progress Notes, As Needed
  • Final Physical Examination
  • Medical Prescription Writing
  • Nutritional Counseling
  • Pain Management
  • Review & Revision of Treatment Plan
  • Routine Medical Management of Unrelated Problem
  • Special Care of Ostomy
  • Written Reports, Progress Note
  • Follow-up Examination and Care for 90 Days After Last Treatment

*Note: May be billed with Radiation Treatment Delivery, superficial and/or ortho voltage, for the purpose of reporting physician services consisting of radiation therapy planning (including, but not limited to clinical treatment planning, isodose planning, physics consultation), radiation treatment device construction, and radiation treatment management when performed on the same date of service as treatment delivery. Billing with modifier 25 may be necessary if National Correct Coding Initiative (NCCI) edits apply.

Resource: CMS Medicare Claims Processing Manual, 100-04, Chapter 13, Section 70.2External Website

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