All PlansCoverageMedium impact
Real-Time Intra-Fraction Motion Management During Radiation Therapy
Blue Cross & Blue Shield of Mississippi·MS · Oncology, Radiology·Medical Policy
We identified it
Jun 20, 2026
Summary
This policy clarifies that real-time intra-fraction motion management during radiation therapy and respiratory gating techniques are considered investigational and not covered. The policy has been updated to consolidate language and specify that these advanced radiation targeting technologies do not meet medical necessity requirements.
Action Required
Immediately: Billing team must ensure that claims for real-time intra-fraction motion management and respiratory gating during radiation therapy are not submitted, as these services are considered investigational and will be denied. Update billing system to flag associated codes 32553, 49411, 55876, and G6017 as non-covered investigational services. Notify radiation oncology providers that these advanced motion management techniques are not reimbursable.