C9794 HCPCS - THERAPEUTIC RADIOLOGY SIMULATION-AIDED FIELD SETTING; COMPLEX, INCLUDING ACQUISITION OF PET AND CT IMAGING DATA REQUIRED FOR RADIOPHARMACEUTICAL-DIRECTED RADIATION THERAPY TREATMENT PLANNING (I.E., MODELING)

Code Information

  • HCPCS Code: C9794
  • Sequence Number: 0010
  • Short Description: Complex simulation w/pet-ct
  • Long Description: Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)
  • Date Added: 1/1/2024
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2024
  • Classification: Temporary Hospital Outpatient Prospective Payment System
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: P7A - Oncology - radiation therapy
  • Type Of Service Code:
    • 6 - Therapeutic radiology

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: 1/1/2024

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C9794
      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 Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)
      HCPCS Short Description Complex simulation w/pet-ct
      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 1/1/2024
      HCPCS Berenson-Eggers Type Of Service Code P7A - Oncology - radiation therapy
      HCPCS Type Of Service Code 1 6 - Therapeutic radiology
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2024
      HCPCS Action Effective Date 1/1/2024
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024