Stereotactic Radiation Therapy: Stereotactic Radiosurgery (SRS) and Stereotactic Body Radiation Therapy (SBRT)
J6 · Effective Oct 1, 2015
3 active Medicare policies list G0563, and 8 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Apr 1, 2026
8 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G0563 |
|---|---|---|
| Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy for Tumors Outside of Intracranial, Skull Base, or Orbital Sites | Nov 1, 2025 | Covered |
| Stereotactic Radiosurgery and Stereotactic Body Radiation Therapy of Intracranial, Skull Base, and Orbital Sites | Nov 1, 2025 | Covered |
| Policy | Effective | Status of G0563 |
|---|---|---|
| Stereotactic Body Radiation Therapy | Not recorded | Covered |
| Policy | Effective | Status of G0563 |
|---|
| GHI/Emblem Non-City of New York & Medicare Radiation Oncology Code List | Jan 1, 2026 | Prior auth required |
|---|
| Policy | Effective | Status of G0563 |
|---|---|---|
| Health Partners Plans Radiation Therapy Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of G0563 |
|---|---|---|
| Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Oct 1, 2026 | Covered |
| Policy | Effective | Status of G0563 |
|---|---|---|
| Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Oct 1, 2026 | Covered |
| Policy | Effective | Status of G0563 |
|---|---|---|
| Stereotactic Body Radiation Therapy and Stereotactic Radiosurgery | Oct 1, 2026 | Covered |