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C2636 - Brachy linear, non-str,p-103

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Field Value
HCPCS Code: C2636
Long Description: Brachytherapy linear source, non-stranded, paladium-103, per 1 mm
Short Description: Brachy linear, non-str,p-103
Pricing Indicator 1: 53 (Statute)
Multiple Pricing Code: A (Not applicable as HCPCS priced under one methodology)
Statute Number: 1833(T)
Coverage Code: D (Special coverage instructions apply)
ASC Payment Group Code: YY
ASC Payment Group Date: 01-01-2008
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: I4B (Imaging/procedure - other)
Type of Service Code 1: 9 (Other medical items or services)
Anesthesia Base Unit Quality: 0
Code Added: 01-01-2005
Action Effective Date: 01-07-2007
Action Code: N (No maintenance for this code)