G6016 HCPCS code: Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session
G6016 is the HCPCS Level II code for compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session. In 2024 Medicare paid an average of $267.03 per service for G6016 across 1,916 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 52% from 2022 to 2024 (3,989 to 1,916 services). In 2024, about 22 clinicians billed Medicare for G6016 for 107 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 13 |
| BETOS category | P7A |
| Added | 2015-01-01 |
| Last action effective | 2015-01-01 |
Who bills G6016 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 22 |
| Medicare beneficiaries | 107 |
| States with claims | 4 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G6016, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,989 | 204 | $370.14 | $294.96 |
| 2023 | 3,044 | 154 | $341.56 | $271.84 |
| 2024 | 1,916 | 107 | $335.53 | $267.03 |
States with the most G6016 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Michigan | 824 | $267.10 |
| New York | 348 | $305.52 |
| Mississippi | 343 | $233.24 |
| Florida | 153 | $222.55 |
What changed for G6016
- 2015-01-01: G6016 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G6016?
G6016 is the HCPCS Level II code for compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session. Short descriptor: "Delivery comp imrt".
How much does Medicare pay for G6016?
In 2024, the average Medicare payment was $267.03 per service (average allowed $335.53).
Does Medicare cover G6016?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related G60 codes
- G6001 — Ultrasonic guidance for placement of radiation therapy fields
- G6002 — Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
- G6003 — Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev
- G6004 — Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev
- G6005 — Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev
- G6006 — Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater
- G6007 — Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev
- G6008 — Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev
- G6009 — Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev
- G6010 — Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater
- G6011 — Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
- G6012 — Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
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Next steps
- Run a reimbursement report for a device billed under G6016
- Watch G6016 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G6016
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.