Highmark Medical Policy Bulletin
Section: Radiation Therapy & Nuclear Medicine
Number: R-11
Topic: Intensity Modulated Radiation Therapy (IMRT)
Effective Date: January 1, 2002
Issued Date: June 10, 2002
Date Last Reviewed: 12/2001

General Policy Guidelines

Deleted May 29, 2002


For review purposes, the deleted policy on Intensity Modulated Radiation Therapy (IMRT) and any prior versions can be accessed in the same manner as policies currently in effect.

Procedure Codes

7730177418    

Traditional (UCR/Fee Schedule) Guidelines

Refer to General Policy Guidelines

FEP Guidelines

Refer to General Policy Guidelines

Comprehensive/Wraparound/PPO Guidelines

Refer to General Policy Guidelines

Managed Care (HMO/POS) Guidelines

Refer to General Policy Guidelines

Publications

References

View Previous Versions

[Version 001 of R-11]

Table Attachment


Text Attachment

Procedure Code Attachment


Glossary

TermDescription





Medical policies do not constitute medical advice, nor are they intended to govern the practice of medicine. They are intended to reflect Highmark's reimbursement and coverage guidelines. Coverage for services may vary for individual members, based on the terms of the benefit contract.

Highmark retains the right to review and update its medical policy guidelines at its sole discretion. These guidelines are the proprietary information of Highmark. Any sale, copying or dissemination of the medical policies is prohibited; however, limited copying of medical policies is permitted for individual use.