AHA Coding Clinic® for HCPCS - 2007 Quarter 3; FOR your INFORMATION
New codes for unidentified brachytherapy sources
The Centers for Medicare & Medicaid Services (CMS) has created two new “not otherwise specified” codes to report brachytherapy sources that do not have source-specific codes yet. The newly created HCPCS codes are for stranded and non-stranded sources and are as follows: C2698 , Brachytherapy source, stranded, not otherwise specified, per source C2699 , Brachytherapy source, non-stranded, not otherwise specified, per source. These codes should be reported for new FDA-approved and marketed radioactive sources consisting of a radioactive isotope that is consistent with the CMS definition of a brachytherapy source that is eligible for separate payment. If the brachytherapy source...
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Article Overview
This article is for hospital coders, billing staff, and other stakeholders who work with brachytherapy source reporting under HCPCS. It summarizes CMS’s introduction of new not-otherwise-specified reporting options for certain brachytherapy sources, notes the ongoing quarterly maintenance process for brachytherapy source codes, and describes the type of information CMS is seeking when organizations recommend new source codes.
Why This Topic Matters
Brachytherapy source reporting can affect claim accuracy and payment processing. Understanding when CMS has added new HCPCS reporting options and how CMS accepts recommendations for additional source codes helps facilities stay aligned with current reporting guidance and code maintenance activity.
What You Will Learn
- The purpose of newly created HCPCS reporting options for brachytherapy sources without source-specific codes.
- The general circumstances under which CMS indicates these reporting options may apply.
- How CMS is handling ongoing maintenance and requests for future brachytherapy source code additions.
- The type of information CMS wants included in recommendations for new source codes.
Who Should Read This
- Hospital coders
- Billing staff
- Outpatient facility administrators
- Revenue cycle professionals
- Coding compliance teams
Codes Discussed
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