Oncology Coding Article – Outpatient Prospective Payment System (OPPS)


As indicated, this code is designated as a “separate procedure.” Therefore, when the application of a stereotactic frame is performed as a component of a larger procedure, such as radiosurgery, it would not be separately reported. Also, both the application and the removal are considered to be reimbursement in a single payment.

However, there may be situations where the radiation oncologist performs the removal service that would normally be considered integral to the insertion or application of the device by the neurosurgeon, breast surgeon, etc. There are limited existing codes available for these removal services. For example: