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57155 in Brachytherapy

  1. Question 57155 in Brachytherapy
    Medical Coding Books
    In our office, the doctors perform brachytherapy occasionally for women with uterine cancer. I am fairly new at my coding position and have run into 57155being denied, with the use of a 26 modifer. I do the professional side of billing charges and I notice in the charts, that the technical side does not bill for 57155. Do I leave off the 26 modifier? Is that the reason for denials?

  2. Default
    There is no -TC or -26 component to 57155 per the CMS fee schedule. I pasted a portion below. Code and bill the service as 57155, no modifier

    57130 ................ Remove vagina lesion
    57135 ................ Remove vagina lesion
    57150 ................ Treat vagina infection
    57155 ................ Insert uteri tandems/ovoids
    57160 ................ Insert pessary/other device
    57170 ................ Fitting of diaphragm/cap

  3. #3
    Is removal of uterine tandem included with this code? I can't find anything on removal.

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