New HCPCS service code

HCPCS code C9726 , Placement and removal (if performed) of applicator into breast for radiation therapy , is to be used as its descriptor states, for placement or removal (if performed) of an applicator into the breast for radiation therapy. HCPCS code C9726 should be billed when such a service is performed and a more specific CPT or HCPCS code that better describes the service is not available. HCPCS code C9726 does not describe the delivery of radiation therapy or the application or placement of radioactive sources. ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short coding update is aimed at clinicians, coders, and billing staff who work with breast radiation therapy services. It explains the introduction and general intended use of a HCPCS service code and places it in context with other coding options, without providing a broader coding policy or step-by-step selection guidance.

Why This Topic Matters

Updates like this affect how a specialized breast radiation therapy-related service is reported and help prevent use of an inappropriate code when a more specific option exists.

What You Will Learn

  • Which HCPCS service code the update addresses
  • The general service category associated with the code
  • How the article frames the code’s relationship to more specific coding options
  • What related radiation therapy services are not included in the same service description

Who Should Read This

  • Medical coders
  • Billing staff
  • Radiation oncology practices
  • Healthcare compliance staff

Codes Discussed


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