HCPCS code C9726 — Rxt breast appl place/remov. Status: Active. Effective Jan 1, 2014. Source: CMS HCPCS Level II.

C9726

Active

Rxt breast appl place/remov

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

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2014
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of C9726 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits