IMRT coverage updated for SoonerCare

Posted on: 4/5/17


Effective April 1, 2017, the Oklahoma Health Care Authority (OHCA) will allow the following Intensity Modulated Radiation Therapy (IMRT) CPT codes for reimbursement for services provided in an outpatient hospital setting. These services are billable by facilities only.
  • CPT 77385 - Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple
  • CPT 77386 - Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex
  • Use G6001 or G6002 for guidance, based on method used.
OHCA also posted a list of CPT/HCPCS codes for which they will no longer require prior authorization, including some IMRT services.

For more information, see OHCA’s Global Messages page.

OHA Partners with Healthcare Staffing Services 


Healthcare Staffing Services was developed as a collaborative effort among multiple state hospital associations to meet the temporary staffing needs of member hospitals and health systems.

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