Table of content for "Brachytx, non-str,hdr ir-192" (HCPCS C1717)
General information on the “C1717” code
HCPCS Code: C1717
Long Description: Brachytherapy source, non-stranded, high dose rate iridium-192, per source
Short Description: Brachytx, non-str,hdr ir-192
Original information is taken from C1717 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
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: 6 – Therapeutic radiology
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20010401
Code Effective Date: 20010401
Action Code: N – No maintenance for this code