Cpt code 55876 When billed on a physician claim, HCPCS code A4648 or HCPCS code A4650 is separately billable and payable as a supply when used in conjunction with CPT codes 19499, 32553, 49411, and 55876. [Codes used to identify patients with prostate cancer and treatments for prostate cancer]. 83 $92. The Current Procedural Terminology (CPT ®) code 55875 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Prostate. S. 33820-63 c. We recommend consulting your relevant manuals for appropriate coding options Policy Scope of Policy This Clinical Policy Bulletin addresses transperineal placement of biodegradable material for prostate cancer. CT pelvis and bone scan were negative. When billed on a physician claim, contractors shall deny code A4648 if code 55876 is not paid on the same claim, or in history, with the same date of service. What is CPT code 55874? CPT code 55874 represents a specific medical procedure involving the transperineal injection of biodegradable material around the prostate gland. Ensure you're working with the most up-to-date version of CPT Code 55920 by opening it in our free code lookup tool. Answer The 2008 CPT manual advises to “report the device separately” from procedure code 55876 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach) single or multiple. In this article, we will explore the details of HCPCS code A4648, including its official description, procedure, usage We would like to show you a description here but the site won’t allow us. Report Prior Authorization Code Lookup Find out if prior authorization from Highmark Health Options is required for medical procedures and services. g. Aug 8, 2008 · Additionally, ASCs can continue to bill a facility fee, CPT code 55875, which has a reimbursement of $1,377. 33465, Repair of truncus arteriosus, 5-day-old male infant. Additional codes would be appropriate for subsequent procedures, depending on the actual work done. Dr. Sep 1, 2017 · When Legitimate Claims Are Denied, Appeal Them If your carriers deny the supply, send an appeal explaining that CPT® states under 55876 to also code the supply, and that CMS guidance states that the supply is paid separately from the procedure. Health documents are specific to NYS health insurance plans. The prerectal space was then accessed. For the ultrasound guidance, unless they were also completing a report for the transrectal ultrasound being billed (76872) then this Search all medical codes 55876 Placement of interstitial device (s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple CPT4 code Name of the Procedure: Placement of interstitial device (s) for radiation therapy guidance, prostate (via needle, any approach), single or multiple. Jan 1, 2025 · C-Codes only apply to Medicare hospital outpatient claims. 66, $154. Aug 27, 2010 · 55876 Placement of interstitial device (s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple If one of the above CPT® codes is not paid on the same claim (or in history) with the same date of service, payment will be denied. Any assistance is greatly appreciated. sometimes they would place the seeds and sometimes the RadioOnc would do it. , fiducial markers, dosimeter], prostate, (via needle, any approach) single or multiple), so you should use the most specific code. , Vaginal delivery only including postpartum care. The correct use of diagnostic and procedural codes will be presented so that entitled reimbursements may be collected for diagnostic and therapeutic services. Medicare Claims Processing Manual - Chapter 13 - Radiology Services and Other Diagnostic Procedures 70. Therefore, the chosen option is A. Apr 12, 2019 · Hi, the doctor does the procedure in our office with fudicial marker placement. Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments Oct 15, 2010 · Question: What codes should we use for prostate brachytherapy or seed implantation for prostate cancer in the hospital outpatient setting? North Carolina Subscriber Answer: For the urologist, you would report 55875 (Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy). Prior authorization of benefits is not the practice of medicine nor the substitute for the independent medical judgment of a treating medical provider. Use official Procedure Price Lookup tool to compare national average to Medicare costs in ambulatory surgical centers, hosptial outpatient departments Nov 10, 2025 · The one-stop-shop for CPT, HCPCS, ICD-10-CM, ICD-10-PCS, medical billing codes, provider documentation, Medicare coding information and more. References to CPT® or other sources are for definitional purposes only and do not imply any right to reimbursement or guarantee claims payment. Skip Separate Cysto Coding Traditionally, your urologist Dec 21, 2022 · Can 55874 and 55876 be billed with 76942-26,59 for the ultrasound guidance? 55874 includes the ultrasound guidance, but 55876 does not include this. Study with Quizlet and memorize flashcards containing terms like Clamp circumcision of a 2-day-old infant. Mar 13, 2025 · CPT Codes stands for Current Procedure Terminology Codes and all these list of CPT codes are used to describe medical services and procedures, tests, surgeries, etc, performed by a health professional or doctor on a patient. The CPT codes list in medical billing is updated as per the guidance of the American Medical Association. Using transrectal ultrasound, fiducial markers were placed. HCPCS code A4648 describes an implantable tissue marker that can be used in various medical procedures. Learn more about this CPT code to ensure proper medical billing and coding. Navigate the complexities with ease – your search ends here! Global periods and CPT data are based on CMS Guidelines and may not be fully up to date. Get the precise code you need quickly and confidently. What CPT^ (odot) code is reported for needle placement to insert the radioactive seeds into the prostate? CPT code 76942 is for using ultrasound guidance during a biopsy procedure, ensuring precise needle placement for accurate tissue sampling. 33786 d. It also includes the removal of the applicator after the procedure has been completed. Medicare paid the 55874 but is denying the 55876, stating the procedure code is inconsistent with the modifier used or a required modifier is missing. 82 $95. 62272 d. 33464 d. V. For example, simulation, clinical treatment planning, isodose treatment plan and basic radiation Table A. We recommend consulting your relevant manuals for appropriate coding options Aug 6, 2018 · Question: If both fiducial marker placement (55876) and hydrogel spacer (55874) in the prostate are performed with US guidance, can the guidance be coded with a modifier for the fiducial marker placement even though it is included with hydrogel space oar (55874)? The CPT code 55876 is reimbursed at $75. Nov 15, 2025 · CPT® Vignettes illustrate code use through sample patient examples. When my doctors did it I would code for it with the placement code (55876) and the US guidance code (see below) as directed in CPT. Medical Necessity Aetna considers transperineal peri-prostatic placement of biodegradable material (Barrigel, SpaceOAR) medically necessary for reducing rectal toxicity in men undergoing radiotherapy for prostate cancer. Do I not need modifier 51? AAPC Forum Subscriber Answer: In this case, modifier 51 (Multiple procedures) may not be the only modifier you need. 55920 For code 55920, go to CPT index main term Placement, subterm Needle, qualifier Interstitial Radioelement Application, and qualifier Pelvic Organs. For example, simulation, clinical treatment planning, isodose treatment plan and basic radiation Jul 23, 2013 · Hi. If your urologist uses ultrasonic guidance 2025 Coding and Payment Guide – SpaceOARTM and SpaceOAR VueTM Hydrogel Systems The coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list. Imaging guidance (usually ultrasound) is separately reported. This code is used to identify and bill for the placement of tissue markers, which are small devices implanted in the body to mark specific locations or areas of interest. 56 in 2009 in the ambulatory surgical center setting. Reality: Some carriers will pay for these gold markers on occasion, and you can always appeal on an individual basis by submitting an invoice. The 2009 CPT manual advises to “report supply of device separately” from procedure code 55876 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach) single or multiple. One coding question frequently asked is how to report a diagnostic transrectal We would like to show you a description here but the site won’t allow us. and more. How To Use CPT Code 55920 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. Aetna considers transperineal peri Guidelines: A valid ICD-9-CM diagnosis code must be present on every claim. Following calculation of the planned transrectal ultrasound, guidance was provided for percutaneous perineal placement of 1-125 seeds into the prostate tissue. Today, cancer of the prostate has become an everyday problem in most urological practices. The Current Procedural Terminology (CPT ®) code 76942 as maintained by American Medical Association, is a medical procedural code under the range - Ultrasonic Guidance Procedures. Please use this as an estimation tool only and check with your Medicare contractor directly for the most accurate information. (The urinary bladder is a pelvic organ. For procedures furnished in settings in which TC payments are made, carriers must pay separately for the As shown in the table above, the CPT code 55873 corresponds to percutaneous radiofrequency ablation of the prostate, while the code 55876 represents laparoscopic surgical radiofrequency ablation of the prostate. - Variation in the Care of Surgical Conditions: Prostate Cancer Feb 21, 2024 · Decoding the transrectal ultrasound guided prostate biopsy CPT code just got easier. What is CPT code 55876? CPT code 55876 represents a medical procedure where interstitial devices, such as fiducial markers or dosimeters, are placed within the prostate gland to assist in radiation therapy. Patient had Palladium radiation implants within six months. After carefully confirming the needle tip position at the mid gland, with careful attention to Aug 6, 2010 · Therefore, effective for dates of service on or after November 6, 2010, your Carrier or A/B MAC will pay physicians for these HCPCS codes when the implantable tissue markers or implantable radiation dosimeters are used in conjunction with one of these four CPT Codes, but will deny payment if one of the above CPT Codes is not paid on the same Aug 6, 2010 · What You Need to Know CR 6968, from which this article is taken, clarifies that the Healthcare Common Procedure Coding System (HCPCS) codes for implantable tissue markers (HCPCS A4648 – Tissue marker, implantable, any type, each) and for implantable radiation dosimeters (HCPCS code A450 – Implantable radiation dosimeter each) are separately billable and payable for physicians when used Oct 13, 2022 · I billed 55874 and 55876-51. When it's done in the office, Is there a separate supply tray that is billable with a Using the STORE manual, choose the correct surgical code TRUS biopsy in doctor's office showed adenocarcinoma of prostate in all six specimens with bilateral palpable lesions. Apr 7, 2015 · The urologists I worked for used to go both ways. Apr 18, 2010 · Differentiate seeds and markers before choosing 55875 or 55876. 1, 10-01-03) Carriers must apply the bundled services policy to procedures in this family of codes other than CPT code 77776. 3. The work of CPT code 57156 describes preparing a patient and inserting and securing the vaginal applicator. 4 - Clinical Brachytherapy (CPT Codes 77750 - 77799) (Rev. Billing Code/Information CPT Code 55874 - Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when performed. 38, and HCPCS code C9728 is reimbursed at $545. Global periods and CPT data are based on CMS Guidelines and may not be fully up to date. ) Jun 10, 2009 · Refer to the CPT Assistant below: Prostate needle biopsy with diagnostic rectal ultrasound CPT Assistant, May 1996 Page: 3 Category: Additional Ultrasonic Procedures We also receive many questions regarding how to report a separate diagnostic ultrasound procedure in addition to a biopsy with ultrasonic guidance. Feb 21, 2020 · Would the following report be coded as 55874 and 55876, or just 55874? "Local anesthesia was provided. Learn how to code and bill for placing markers or a device in the prostate before radiation treatment. We are putting the description in Box 19 of the insurance form, but this is no help. Jul 21, 2016 · A. Use Add-On Code 38747 for Full Payment As of Jan. 55874 is the actual Space Oar Cpt code then we also bill out with 55876, 76872 76942, 96372 J1580, A4648 for the markers. Ensure you're working with the most up-to-date version of CPT Code 55875 by opening it in our free code lookup tool. Gomez presents to the emergency department (ED) of her local hospital, complaining of body aches, fever, and headache. Every vignette contains a Clinical Example/Typical Patient and a description of Procedure/Intra-service. Belinda Ziegman, Supervisor of coding Feb 13, 2007 · Tip: Check the edits before separately reporting 69990 As soon as CPT Codes adds new codes, the National Correct Coding Initiative (NCCI Edits ) is right there to limit how you can use those codes. I. The Current Procedural Terminology (CPT ®) code 76872 as maintained by American Medical Association, is a medical procedural code under the range - Diagnostic Ultrasound Procedures of the Genitalia. This code, for Jan 5, 2010 · The procedure we are having problems on is called the “Fiducial seed placement” There are no CPT codes for this service and we have to use a miscellaneous code. Jan 26, 2025 · CMS clarifies that implantable tissue markers (HCPCS code A4648) and implantable radiation dosimeters (HCPCS code A4650) are separately billable and payable when used in conjunction with CPT codes 19499, 32553, 49411 or 55876 on a claim for physician services. Separately Coding Cystoscopy Sets You Up for Denials The Current Procedural Terminology (CPT ®) code 76942 as maintained by American Medical Association, is a medical procedural code under the range - Ultrasonic Guidance Procedures. A fracture of the corpus cavernosum penis is repaired. Study with Quizlet and memorize flashcards containing terms like A patient presents with tricuspid valve regurgitation and undergoes repair of the valve, which requires use of a ring. A small amount of saline was injected to confirm position and free flow away from the needle tip. 62281 b. Aug 25, 2010 · Physicians may bill and receive payment for HCPCS A4648 (tissue marker, implantable, any type, each) and HCPCS A4650 (implantable radiation dosimeter each) when used with CPT codes 19499, 32553, 49411 and 55876. Correct Coding Solutions, Medicare contractor for the National Correct Coding Initiative (NCCI), issued their final decision to bundle CPT code 76942 Ultrasonic guidance for needle placement paired with CPT codes describing diagnostic ultrasound procedures (specific for urology, CPT code 76872 Ultrasound, transrectal). The Current Procedural Terminology (CPT ®) code 55866 as maintained by American Medical Association, is a medical procedural code under the range - Laparoscopic Procedures on the Prostate. CMS MANUAL SYSTEM 2009-11-27 conjunction with CPT code 55876 on a claim for physician services. a. Aug 19, 2024 · The Current Procedural Terminology (CPT) code range for Other Procedures on the Prostate 55870-55899 is a medical code set maintained by the American Medical Association. 55874 - Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection(s), including image guidance, when Aug 6, 2009 · Question: How should I report the placement of gold seed markers and a TRUS done in the office setting? Answer: First, you should report 55876 (Placement of interstitial device [s] for radiation therapy guidance [e. Overcome these challenges with three expert tips, and avoid costly brachytherapy denials. CMS clarifies that implantable tissue markers (HCPCS code A4648) and implantable radiation dosimeters (HCPCS code A4650) are separately billable and payable when used in conjunction with CPT codes 19499, 32553, 49411 or 55876 on a claim for physician services. Mar 20, 2025 · AAPC CPC Exam 50000 Series CPT Practice Test Q1. Jul 23, 2013 · Hi. Apr 2, 2011 · CPT provides a distinct code for prostate (55876, Placement of interstitial device [s] for radiation therapy guidance [e. All ICD-9-CM diagnosis codes must be coded to the highest level of specificity Oct 15, 2025 · Device-Intensive Procedure and Device Code Search The Outpatient Code Editor (OCE) will return to the provider (RTP) any claim submitted with: A device-intensive procedure code billed without at least one device code required for the procedure on the same claim with the same date of service A device code billed without the procedure code that is necessary for the device to have therapeutic CPT® RVU calculator provides a quick analysis of the work relative value units associated with a certain volume of CPT or HCPCS codes. 68 2. Listing of a code in this policy does not imply that the service described by the code is a covered or non-covered health service; however, language may be included in the listing below to indicate if a code is non-covered. Creating a Prior Authorization Request with Multiple CPT Codes on the Web eviCore’s web portal is the quickest and easiest way to create Prior Authorization requests and check existing casestatus. They do not trigger additional payment to the facility with the exception of designated transitional pass-through payment (TPT) devices. Brachytherapy Number: 0371 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References Jun 30, 2025 · The 2025 rectal spacer placement CPT code is 55874. Don’t report 55876 plus an abdominal code for the same service. This code ensures that the exact treatment is documented and billed correctly. 33463 c. clinically proven to preserve patient quality of life following radiation CPT® code 55876 now describes the placement of fiducial or other markers into the prostate to aid subsequent imaging-guided radiotherapy. , Transabdominal biopsy, left adrenal gland, via open approach. We would like to show you a description here but the site won’t allow us. This code should be employed when the surgical approach is minimally invasive and includes robotic assistance, if applicable. Nov 8, 2017 · Augmenix® Announces Medicare Reimbursement Rates for the new CPT Code 55874, which will be used to bill SpaceOAR® Hydrogel, Effective January 2018 First and only prostate cancer spacing device available for use in the U. Montana Subscriber Answer: For placement of gold seed markers, you report code 55876 (Placement of interstitial device [s] for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any Study with Quizlet and memorize flashcards containing terms like LEEP electrodissection conization. Report code _____. 2 . Find code details, tips, forum, and more on Codify by AAPC. Overview The codes listed in this document represent the procedures requiring authorization by eviCore healthcare for the following: OWCP MEDICAL FEE SCHEDULE - EFFECTIVE Table of RVU & Conversion Factor values by CPT/HCPCS Codes Explore the essentials of cpt code 76942 for ultrasound guidance, including coverage, documentation, and reimbursement details. Jul 1, 2011 · 1. , Carl is a 6-year-old male who is admitted to the ambulatory surgical unit of a local hospital on May 4 and who undergoes removal of bilateral ventilating tubes. Study with Quizlet and memorize flashcards containing terms like Ms. 62270, One isocenter with coplanar geometry with blocking. 1. Under the Medicare Physician Fee Schedule, in addition to the prostate placement code (CPT code 55876), unlisted procedure codes may be assigned for the placement of interstitial devices. Oct 10, 2007 · Bottom line: Code for the services your urologist performs during the procedure, but avoid reporting CPT codes for services that the other physician performs, such as 77778 (Interstitial radiation source application; complex). They are thought to be relevant to SpaceOARTM and SpaceOAR VueTM procedures and are referenced throughout this document. Review description and fee schedules for CPT Code 55876, intended for Surgery, and compare rates across different payers. Dec 26, 2017 · CPT® 2018 introduces a new Category I code, 55874 Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection (s), including image guidance, when performed to describe the supply and placement of a temporary, biodegradeable implant, marketed as the SpaceOAR System, that is used to reduce rectal injury in men receiving prostate cancer radiation therapy (RT UnitedHealthcare Medicare Advantage Policies use Current Procedural Terminology (CPT®), Centers for Medicare and Medicaid Services (CMS), or other coding guidelines. 1, you won’t be able to Oct 1, 2000 · The CPT Assistant also states: Remember, the use of 76872 does not preclude reporting 76942 The intent of code 76872 is to describe a diagnostic transrectal ultrasound. 62269 c. Let our experts guide you through the myriad of urology bundles that you’ll face during the first quarter of this year. Patient was started on Lupron to downsize his prostate. In this chapter we will review the coding and billing of the various services provided by urologists for this clinical problem. Includes moderate sedation Multiple Markers Won’t Change Coding Codes 31626, 32553, 49327, 49411, 49412, 55876, and C9278 all describe placement of one or more markers. 56 38571 Laparoscopy lymphadenectomy NA NA NA NA 50040 Drainage of kidney NA NA NA NA 50080 Removal of kidney stone NA NA NA N Aug 26, 2019 · SpaceOar and how it's billed is apparently going to drive management up a wall here! :) Just for clarification purposes, we bill it 55874, 55876-51 (IF Visicoil is done), and 76872 for the ultrasound. , Patient underwent placement of needles into his penis for subsequent interstitial radioelement application. Dec 14, 2009 · Implantable tissue markers are separately billable and payable when used in conjunction with CPT® 55876 Placement of interstitial device (s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple. The intent of CPT code 76942 is to describe an ultrasound used to localize a mass or region to be biopsies with a needle, and to guide the needle into the mass or region. +++ (CPT CODE 55876 REVISED IN 2011) +++ A physician in our practice is placing fiducial markers (gold seeds) into the prostate transrectally for guidance during radiation treatment. This procedure is performed to create a temporary spacer that separates the prostate from the rectum. Marker Supply Isn’t How To Use CPT Code 55875 This Content Might Be Outdated - Check in Our Free Code Lookup Tool Medical codes change frequently, and using outdated information can lead to denials. If the urologist also examined [] Related articles The Current Procedural Terminology (CPT ®) code 55874 as maintained by American Medical Association, is a medical procedural code under the range - Other Procedures on the Prostate. 33786-63 b. 11980 Implant hormone pellet(s) 2. Best bet: Be prepared to submit invoices and CPT book photocopiesMyth: You can't ever bill separately for fiducial markers. Report imaging guidance separately 3. Enter a Current Procedural Terminology (CPT) code in the space below to get started. If your Urologist implanted 2 units of the Visicoil using the ultrasound guidance, you should bill it this way: 55876 (placement of interstitial device for radiation therapy guidance, prostate via needle, single or multiple) 76942 (ultrasound guidance) A4648 tissue marker, implantable, any type, each If the pt has Medicare, you need to indicate in the line note under A4648 the purchase A 67-year-old gentleman with localized prostate cancer will be receiving brachytherapy treatment. When To Use CPT 55866 CPT code 55866 is utilized when performing a laparoscopic retropubic radical prostatectomy with nerve-sparing techniques. What is the correct code? 54440 54420 54430 54435 Medical Billing and Coding Online free resources on Education, Certifications (AHIMA, AAPC), Schools, Jobs, Salary, Softwares, CPT, ICD 9, ICD 10. 1 . 33460 b. 6579. X: X . Verify the code in the Reproductive System Procedures subsection of the Surgery section. Jan 24, 2025 · As this is a balloon, the question has come up on whether it would be appropriate to report Current Procedural Terminology (CPT) code 55874 (Transperineal placement of biodegradable material, peri-prostatic, single or multiple injection [s], including image guidance, when performed)for placement of this product. Jan 26, 2022 · Correct Coding Solutions, Medicare contractor for the National Correct Coding Initiative (NCCI), has issued their final decision to bundle CPT code 76942 Ultrasonic guidance for needle placement paired with CPT codes describing diagnostic ultrasound procedures (specific for urology, CPT code 76872 Ultrasound, transrectal). The ED physician performs a spinal puncture to rule out meningitis. Add-on code: Report in addition to primary procedure 2. White had inserted the tubes in Creating a Prior Authorization Request with Multiple CPT Codes on the Web eviCore’s web portal is the quickest and easiest way to create Prior Authorization requests and check existing casestatus. Contractors shall use the following Claim Adjustment Reason Code when denying code A4648 on physician The Current Procedural Terminology (CPT ®) code 76965 as maintained by American Medical Association, is a medical procedural code under the range - Ultrasonic Guidance Procedures. When it's done in the office, Is there a separate supply tray that is billable with a. 2025 Coding and Payment Guide – SpaceOARTM and SpaceOAR VueTM Hydrogel Systems The coding options listed within this guide are commonly used codes and are not intended to be an all-inclusive list. HCPCS Code for Tissue marker, implantable, any type, each A4648 HCPCS code A4648 for Tissue marker, implantable, any type, each as maintained by CMS falls under Other Supplies . Brachytherapy seed placement coding challenges even veteran coders because your urologist will likely work with another physician on the treatment, which limits what you can report. Many providers have faced confusion over fiducial marker coverage since CPT 2007 introduced a new code, 55876. Don’t report multiple code units if the physician places more than one marker at a given location. SUMMARY OF CHANGES: This Change Request clarifies that implantable tissue markers (HCPCS code A4648) are separately billable and payable when used in conjunction with CPT code 55876 on a claim for physician services. RADIATION THERAPY PROGRAM CLINICAL PATHWAYS Bone Metastases Brain Metastases Breast Cancer Cervical Cancer Primary CNS Lymphoma Primary CNS Neoplasms Endometrial Cancer Gastric Cancer Head/Neck Carcinoma Non–Small Cell Lung Cancer Pancreatic Cancer Prostate Adenocarcinoma Rectal Adenocarcinoma Small Cell Lung Cancer Cancer Type Other Transportation Services Including Ambulance, Medical & Surgical Supplies A4648 is a valid 2025 HCPCS code for Tissue marker, implantable, any type, each or just “ Implantable tissue marker ” for short, used in Other medical items or services. Nov 18, 2019 · Question: How do we report for a gold seed marker placement for future cyberknife radiation therapy? Also, please suggest how to select the most appropriate diagnosis codes. , fiducial markers, dosimeter], prostate [via needle, any approach], single or multiple) for the gold seed marker placement. May 1, 2025 · View Fidelis Care's Authorization Grids available for Medicare, Medicaid, Child Health Plus, and Qualified Health Plans (Metal-Level Products). 33820, Allogenic stem cell transplant. 1. Unlock the specifics of CPT code 96372 for injection administration in healthcare billing with our expert guide to coding and reimbursement practices. Feb 14, 2024 · The correct CPT® code for the percutaneous perineal placement of I-125 seeds into the prostate is 55876, as it accurately describes the procedure used for localized prostate cancer brachytherapy. Assign the CPT code. 64 more than the 2007 payment rate and one of the higher facility reimbursement codes for any ambulatory surgery center operating room case. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60654.