HCPCS Code Details - C1717

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C1717
Description

Long description:
Brachytherapy source, non-stranded, high dose rate iridium-192, per source

Short description:
Brachytx, non-str,hdr ir-192

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1833(T)
Coverage code D - Special coverage instructions apply
ASC payment group code Effective Jan 01, 2008 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code I4B - Imaging/procedure - other
HCPCS Action code N - No maintenance for this code
Type of service 6 - Therapeutic radiology
Effective date Effective Apr 01, 2001
Date added Added Apr 01, 2001
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS C1716 · Brachytherapy source, non-stranded, gold-198, per source

  • HCPCS C1719 · Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source

  • HCPCS C2616 · Brachytherapy source, non-stranded, yttrium-90, per source

  • HCPCS C2634 · Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source

  • HCPCS C2635 · Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source

  • HCPCS C2637 · Brachytherapy source, non-stranded, ytterbium-169, per source

  • HCPCS C2639 · Brachytherapy source, non-stranded, iodine-125, per source

  • HCPCS C2641 · Brachytherapy source, non-stranded, palladium-103, per source

  • HCPCS C2643 · Brachytherapy source, non-stranded, cesium-131, per source

  • HCPCS C2699 · Brachytherapy source, non-stranded, not otherwise specified, per source


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”