Table of content for "Brachytx, non-stranded,i-125" (HCPCS C2639)
General information on the “C2639” code
HCPCS Code: C2639
Long Description: Brachytherapy source, non-stranded, iodine-125, per source
Short Description: Brachytx, non-stranded,i-125
Original information is taken from C2639 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Statute Number: 1833(t)(2)
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20080101
Type of service
Berenson-Eggers Type of Service (BETOS): I4B – Imaging/procedure - other
Type Of Service 1: 4 – Diagnostic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20070701
Code Effective Date: 20070701
Action Code: N – No maintenance for this code