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C2637 - Brachy,non-str,ytterbium-169

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Field Value
HCPCS Code: C2637
Long Description: Brachytherapy source, non-stranded, ytterbium-169, per source
Short Description: Brachy,non-str,ytterbium-169
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:
Processing Note Number:
Berenson-Eggers Type of Service (BETOS) Code: I4B (Imaging/procedure - other)
Type of Service Code 1: 4 (Diagnostic radiology)
Anesthesia Base Unit Quality: 0
Code Added: 01-10-2005
Action Effective Date: 01-07-2007
Action Code: N (No maintenance for this code)