Other Therapeutic Services and Supplies HCPCS Code range C9725-C9901

Placement of endorectal intracavitary applicator for high intensity brachytherapy

Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure

Insertion of implants into the soft palate; minimum of three implants

Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple

Non-ophthalmic fluorescent vascular angiography

Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (MR) guidance

Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)

Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants

Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in addition to code for primary procedure)