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Official Description

Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple
Short Descr Place device/marker, non pro
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(T)
ASC Payment Group Code YY – 1/01/2013
BETOS P5E – Ambulatory procedures - other
TOS Code(s) 2 – Surgery
Added Date 7/1/2007
APC Status Indicator Procedure or Service, Not Discounted when Multiple
ASC Payment Indicator Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight.
MUE 1
MUE Not applicable/unspecified.
OTS Orthotic No
CCS Clinical Classification 211 - Therapeutic radiology
TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
Date
Action
Notes
2010-01-01 Changed Code description changed
2007-07-01 Added Code added 7/1/2007
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