HCPCS Code Details - C9794

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9794
Description

Long description:
Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)

Short description:
Complex simulation w/pet-ct

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, 2024 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code P7A - Oncology - radiation therapy
HCPCS Action code A - Add procedure or modifier code
Type of service 6 - Therapeutic radiology
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024
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 C9793 · 3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report

  • HCPCS C9795 · Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions


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”