C1719 HCPCS - BRACHYTHERAPY SOURCE, NON-STRANDED, NON-HIGH DOSE RATE IRIDIUM-192, PER SOURCE

Code Information

HCPCS Code: C1719
Sequence Number: 0010
Short Description: Brachytx, ns, non-hdrir-192
Long Description: Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
Date Added: 4/1/2001
Action Code: N - No maintenance for this code
Action Effective Date: 4/1/2001
Classification: Temporary Hospital Outpatient Prospective Payment System
Coding System: HCPCS

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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C1719
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 source, non-stranded, non-high dose rate iridium-192, per source
HCPCS Short Description	Brachytx, ns, non-hdrir-192
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	6 - Therapeutic radiology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	4/1/2001
HCPCS Action Effective Date	4/1/2001
HCPCS Action Code	N - No maintenance for this code