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Thread: Brachytherapy

  1. #1
    Join Date
    Apr 2007

    Question Brachytherapy

    AAPC: Back to School
    Anyone having any luck with getting reimbursed from Medicare for Brachytherapy seeds (C-131 non-stranded) HCPCS Code 2643. We started doing these in January 08 and are having problems getting paid. When billing electronically we have to fax invoice at same time as electronic with EDI cover sheet. These keep getting rejected.

  2. #2
    Join Date
    Apr 2007


    Are you inputting any info in box 19 on the HCFA? What other codes are you billing?

    The C2643 has a payment indicator of H7 so ultimately it should be paid just need to figure out exactly how Medicare wants it.

    I've only had to code them a couple of times as most of the Radiology oncologists supply and bring them to the ASC.

  3. #3
    Join Date
    Apr 2007

    Default Brachytherapy

    Yes I am putting info in Box 19 that says "Invoice/documentation faxed" per EDI instructions. As of July 1 the C2643 code will be used for ASC's. Right now it's a question of whether Q3001 or C2643 is used. As you know Medicare is not the greatest for helping out.

  4. #4

    Smile brachytherapy coding

    We had problems in the beginning with Medicare not paying on any brachy procedures...found out the problem was on their end. In sending a redetermination along w/op report and invoice for the seeds these are now getting paid. Hope this helps

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