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CommercialCoverageMedium impact

Intraoperative Radiotherapy

Blue Cross & Blue Shield of Mississippi·MS · Oncology, General Surgery, Radiology·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

This policy defines coverage for Intraoperative Radiotherapy (IORT), which is only considered medically necessary for rectal cancer with positive/close margins in T4 lesions or recurrent disease. All other oncologic applications of IORT are considered investigational and not covered.

Action Required

Action needed
Billing team must ensure IORT procedures (CPT 0735T, 77425, 77469) are only billed for rectal cancer patients with positive/close margins in T4 lesions or recurrent disease. Verify diagnosis codes C20, C78.5 are documented. All other oncologic IORT applications will be denied as investigational.

Affected Billing Codes

77425
77469
C20
C78.5