How To Use HCPCS Code C2699

HCPCS code C2699 describes a brachytherapy source that is non-stranded and not otherwise specified. This code is used to identify a specific type of brachytherapy source that is used in radiation therapy procedures. In this article, we will explore the meaning and usage of HCPCS code C2699, as well as provide information on its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C2699?

HCPCS code C2699 is used to identify a brachytherapy source that is non-stranded and not otherwise specified. Brachytherapy is a type of radiation therapy that involves placing radioactive sources directly into or near the tumor. This code is specific to the type of brachytherapy source used and helps in accurately documenting and billing for the procedure.

2. Official Description

The official description of HCPCS code C2699 is “Brachytherapy source, non-stranded, not otherwise specified, per source.” The short description for this code is “Parenteral supp not othrws c.” These descriptions provide a clear understanding of the type of brachytherapy source that is being referred to and the purpose it serves in the procedure.

3. Procedure

1. The provider begins the procedure by determining the appropriate brachytherapy source to be used based on the patient’s condition and treatment plan.
2. The brachytherapy source is then inserted into or near the tumor site using specialized instruments.
3. The source is carefully positioned to deliver the required dose of radiation to the tumor while minimizing exposure to surrounding healthy tissues.
4. Once the source is in place, the provider ensures its stability and makes any necessary adjustments.
5. After the desired treatment time has elapsed, the source is removed, and the procedure is completed.

It is important for the provider to follow established protocols and guidelines to ensure the safe and effective delivery of brachytherapy using the specified source.

4. When to use HCPCS code C2699

HCPCS code C2699 should be used when documenting and billing for brachytherapy procedures that involve the use of a non-stranded and not otherwise specified source. This code is applicable when the specific type of brachytherapy source used is not covered by any other existing HCPCS code. It is important to accurately identify and code the brachytherapy source to ensure proper reimbursement and claims processing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C2699, healthcare providers need to ensure that the documentation supports the use of a non-stranded and not otherwise specified brachytherapy source. The medical records should include details of the procedure, the specific source used, and any relevant clinical information. It is also important to follow the billing guidelines set forth by the payer, including any specific modifiers or additional documentation requirements.

6. Historical Information and Code Maintenance

HCPCS code C2699 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition. It is important for medical coders to stay updated on any changes or updates related to HCPCS codes to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code C2699 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A means that the code is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and reimbursement for brachytherapy procedures using HCPCS code C2699.

8. Examples

Here are five examples of when HCPCS code C2699 should be billed:

1. A patient undergoes brachytherapy for the treatment of prostate cancer using a non-stranded and not otherwise specified source.
2. A brachytherapy procedure is performed to treat cervical cancer, and a non-stranded and not otherwise specified source is used.
3. A patient with breast cancer receives brachytherapy treatment using a non-stranded and not otherwise specified source.
4. A brachytherapy procedure is performed to treat skin cancer, and a non-stranded and not otherwise specified source is used.
5. A patient undergoes brachytherapy for the treatment of lung cancer using a non-stranded and not otherwise specified source.