C2636 HCPCS - BRACHYTHERAPY LINEAR SOURCE, NON-STRANDED, PALLADIUM-103, PER 1 MM

Code Information

HCPCS Code: C2636

Sequence Number: 0010

Short Description: Brachy linear, non-str,p-103

Long Description: Brachytherapy linear source, non-stranded, palladium-103, per 1 mm

Code Added Date: 1/1/2005

Action Code: N - No maintenance for this code

Action Effective Date: 7/1/2007

Classification: Temporary Hospital Outpatient Prospective Payment System

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: I4B - Imaging/procedure - other
Type Of Service Code:
  • 9 - Other medical items or services

Billing Information

Pricing Indicator Code:
  • 53 - Statute
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: D - Special coverage instructions apply
      ASC Payment Group Effective Date:1/1/2008

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C2636
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
      HCPCS Short Description Brachy linear, non-str,p-103
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Statute Number 1833(T)
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS ASC Payment Group Code YY
      HCPCS ASC Payment Group Effective Date 1/1/2008
      HCPCS Berenson-Eggers Type Of Service Code I4B - Imaging/procedure - other
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2005
      HCPCS Action Effective Date 7/1/2007
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 1/1/2018