Medicare Benefits Schedule - Note TN.2.6

Low dose rate brachytherapy prostate implants must be performed at an approved site in association with a urologist.

Item 15966 may be claimed for the implantation of low dose rate brachytherapy prostate implants when the service is performed at an approved site in association with a urologist. A radiation oncologist must be present in person in addition to the urologist at the time of the service.

Related Items: 15966

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Complex insertion of any of the following kinds of interstitial brachytherapy implants not requiring surgical exposure, with image guidance, and if a radiation oncologist is in attendance during the service:

(a) catheters or needles for temporary implants;

(b) radioactive sources for permanent implants;

(c) breast applicators, single channel and multi‑channel strut devices;

including the removal of applicators, catheters or needles

(Anaes.)

Fee: $531.95 Benefit: 75% = $399.00 85% = $452.20

(See para TN.2.5, TN.2.6, TN.2.7 of explanatory notes to this Category)