Billing and Coding: Intraoperative Radiation Therapy

This billing/coding guideline for intraoperative radiation therapy (IORT) requires submission of ICD-10-CM diagnosis codes that demonstrate medical necessity with every claim. Claims lacking supporting ICD-10-CM codes or required documentation will be denied as not medically necessary; consult LCD L37779 for the full clinical coverage criteria and any frequency limits.

"Intraoperative radiation therapy (IORT) claims are covered when submitted with ICD-10-CM diagnosis codes that support medical necessity per applicable clinical criteria (see LCD L37779)."

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