Advanced Search

Oncology & Hematology Coding Alert

Reader Questions:

Crack 0182T's PC/TC Code

Published on Fri Oct 10, 2008

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).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All