10 commercial payer policies list G6016. 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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10 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of G6016 |
|---|---|---|
| Intensity Modulated Radiotherapy (IMRT) for Breast Cancer | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) for Tumors in Close Proximity to Organs at Risk | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) of the Central Nervous System (CNS), Head, Neck, and Thyroid | Jan 1, 2026 | Covered |
| Intensity Modulated Radiotherapy (IMRT) of the Thorax, Abdomen, Pelvis, and Extremities | Jan 1, 2026 | Covered |
| Policy | Effective | Status of G6016 |
|---|
| Intensity-Modulated Radiotherapy | Not recorded | Covered |
|---|---|---|
| Radiation Therapy for Skin Cancer | Not recorded | Covered |
| Policy | Effective | Status of G6016 |
|---|---|---|
| Radiation Therapy Excludes Proton | Apr 4, 2026 | Covered |
| Radiation Therapy for Non Malignant Disease | Apr 4, 2026 | Covered |
| Policy | Effective | Status of G6016 |
|---|---|---|
| Breast Reduction Surgery and Gynecomastia Surgery | Mar 6, 2023 | Covered |
| Policy | Effective | Status of G6016 |
|---|---|---|
| Health Partners Plans Radiation Therapy Code List | Jan 1, 2025 | Prior auth required |