G0563 Insurance Policy Changes

HCPCS G0563 is officially defined as "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions." HCPCS G0563 is referenced in 1 tracked payer policy change from Pennsylvania Medicaid (DHS). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS G0563 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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