Proton beam radiation therapy (PBRT) is a form of external radiation therapy in which positively charged subatomic particles, or protons, are targeted to a specific tissue mass through use of a stereotactic planning and delivery system. With this treatment, a focused dose of radiation is delivered to the target area while the surrounding healthy tissue receives minimal radiation.
The use of proton beam radiation may improve outcomes when thefollowing conditions apply:
This criteria applies to covered members under FM HomeBuilders Consortium only.
Other applications include, but are not limited to:
77520 | 77522 | 77523 | 77525 | S8030 |
Coverage
Proton beam radiation therapy used in combination with intensity modulated radiation therapy (IMRT) in a single treatment plan is not covered.