Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC)

SRT for nonmelanoma skin cancers is covered only when medically necessary per LCD DL40193 and is payable exclusively in non-facility (freestanding) settings. Coverage requires pre-treatment documentation that the patient is a nonsurgical candidate with informed discussion of risks and a comprehensive medical record detailing treatment planning, dosimetry, target verification, signatures/credentials, and coding specificity; records must be legible and available to the contractor upon request.

"Superficial Radiation Therapy (SRT) is covered for the treatment of nonmelanoma skin cancers (NMSC) when medically necessary and consistent with the Local Coverage Determination (LCD) DL40193 reaso..."

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