tci Part B Insider - 2004 Issue 35

CPT 2005: Confused About How To Bill For APBI? Help Is Here!

New codes could end APBI reimbursement woesMany carriers issued Local Coverage Determinations for Accelerated Partial Breast Irradiation last summer (see PBI, Vol. 5, No. 26, p. 196), but there was no way to bill for a huge part of these procedures. All that should change in the new year.Experts expect three new codes to come out in January for breast catheter placement for radiation therapy after a lumpectomy. APBI targets part of the breast after a lumpectomy over a five-to-six-day period, instead of the weeks that older techniques take. Two new codes cover Proxima Therapeutics' MammoSite radiation therapy...

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