Health Information Management

Tip: CMS adds two brachytherapy codes

APCs Insider, August 23, 2013

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CMS recently added two new codes for payment of new brachytherapy sources for which source codes have not yet been established:

  • C2698, brachytherapy source, stranded, not otherwise specified, per source
  • C2699, brachytherapy source, non-stranded, not otherwise specified, per source

CMS will reimburse providers based on a rate equal to the lowest stranded or non-stranded payment rate for such sources, respectively, on a per source basis.

Once CMS establishes a new HCPCS code for a new source, it will assign the new code to its own APC, with the payment rate set based on external data and other relevant information, until claims data are available for the standard OPPS rate-making ­methodology.

This tip is adapted from “CMS changes code status, adds APCs, modifier” in the August issue of Briefings on APCs.



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