Oncology & Hematology Coding Alert

Reader Questions:

Crack 0182T's PC/TC Code

Question: Is 0182T a technical component-only code?

Massachusetts Subscriber

Answer: Yes.

How you know: The Medicare physician fee schedule indicates that 0182T (High dose rate electronic brachytherapy, per fraction) has a PC/TC (professional component/technical component) indicator of "3." According to the Medicare Claims Processing Manual, chapter 23, that "3" means 0182T is a technical component-only code and accounts for just the technical costs (such as staff and equipment) of the procedure.

Bonus 0182T tip: You should not report 0182T with 77761-77789, according to CPT guidelines. But the facility may report C9726 (Placement and removal [if performed] of applicator into breast for radiation therapy), if documented and performed, with 0182T, states MLN Matters article MM5623 (www.cms.hhs.gov/MLNMattersArticles/downloads/MM5623.pdf).

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