Question 1

What is HCPCS code C2616?

Accepted Answer

HCPCS code C2616 is "Brachytx, non-str,yttrium-90". Brachytherapy source, non-stranded, yttrium-90, per source

Question 2

What category is C2616 in?

Accepted Answer

C2616 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C2616?

Accepted Answer

Use C2616 when billing for brachytx, non-str,yttrium-90. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C2616 covered by Medicare?

Accepted Answer

Coverage for C2616 (Brachytx, non-str,yttrium-90) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C2616?

Accepted Answer

Documentation for C2616 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).