July 28, 2020
ASTRO successfully resolved an issue with Humana regarding denials of CT image guidance when billed within 14 days of IMRT treatment planning. ASTRO sent Humana an advocacy letter explaining that it is appropriate to bill CT image guidance (77014) with IMRT treatment delivery (G6015, G6016, 77385 or 77386) and within 14 days of IMRT treatment planning (77301).
Humana agreed that these claims were incorrectly being denied and will automatically reprocess the claims. Practices should not have to resubmit claims, however, if you continue to receive incorrect denials, please contact the health policy team.