Commercial Radiation Therapy Procedure Codes
Customize your policy alerts
Sign up for all blue cross blue shield - tennessee policy alerts
Know when blue cross blue shield - tennessee releases new policies or updates existing guidance.
Monitor payer policy activity
Lists CPT/HCPCS/G-codes and descriptions for radiation therapy, brachytherapy, stereotactic procedures, and related delivery/planning codes effective for BCBST commercial plans; intended for providers and billing staff submitting claims to Blue Cross Blue Shield - Tennessee.
No material clinical or coverage changes in this revision.
Coverage and Coding Notes
Coding status notes
Code activation/removal notes and list-only policy structure
ALL of the following
Examples of codes removed on 4/1/2024 then reactivated 7/1/2024
- 32553 — Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple. Removed 4/1/2024; Reactivated 7/1/2024.
- 49411 — Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple. Removed 4/1/2024; Reactivated 7/1/2024.
- 49412 — Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance if performed, single or multiple. Removed 4/1/2024; Reactivated 7/1/2024.
- 55876 — Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple. Reactivated 7/1/2024.
- Other related placement/implantation codes with start dates noted in the listing (examples for context): 19298 (placement of brachytherapy catheters into the breast), 31643 (bronchoscopy with placement of catheter(s) for intracavitary radioelement application), 41019 (placement of needles/catheters into head/neck for interstitial radioelement application).
Representative Codes and Status
| 0394T | HDR electronic brachytherapy, skin surface application, per fraction |
| 0395T | HDR electronic brachytherapy, interstitial or intracavitary treatment, per fraction |
| 0745T | Cardiac focal ablation utilizing radiation therapy; noninvasive arrhythmia localization and mapping |
| 19294 | Preparation of tumor cavity with placement of radiation therapy applicator for intraoperative radiation therapy (IORT), concurrent with partial mastectomy |
| G0339 | Image guided robotic linear accelerator-based stereotactic radiosurgery, complete course in one session or first session of fractionated treatment |
| A9513 | Lutetium Lu 177, dotatate, therapeutic, 1 mCi (radiopharmaceutical) |
Provider Billing and Action Notices
Code reactivation — CPT 32553 now effective 7/1/2024
Placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple was reactivated effective 7/1/2024; previously removed 4/1/2024. Submit claims using CPT 32553 only for dates of service on or after the reactivation date and ensure documentation supports percutaneous intra-thoracic placement for radiation therapy guidance.
Procedure Definitions and Key Terms
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.