Hypofractionated image-guided robotic radiosurgery delivered by systems such as CyberKnife provide a targeted, accurate and painless alternative to open surgery. Since this treatment involves a multidisciplinary team of specialists, please review the following guidelines to reduce claims submission confusion:

Surgeons are responsible and may submit claims for:

• Appropriate initial E/M service
• Fiduciary placement and subsequent placement problems
• Additional surgical specific problems
• Follow-up surgical care for E/M services that fall outside of the global days for the surgical procedure

Radiation Oncologists are responsible and may submit claims for:

• Stereotactic radiation treatment delivery, CPT code 77372
• Radiation treatment management, CPT code 77432
• CPT code 77432 includes the following services:
• Fiducial scan review
• Tumor contouring
• Predose review with physicist
• Attendance during treatment

NOTE: At this time, medical literature indicates Cyberknife treatment for prostate cancer is investigational and therefore not a covered Medicare benefit.