BCBST Commercial Radiation Therapy Procedure Codes (UM+CS)
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This document lists radiation therapy and brachytherapy procedure codes with descriptions and payer-specific activation/reactivation or removal dates for Blue Cross Blue Shield Tennessee commercial coverage; it affects providers billing radiation therapy services to BCBSTN.
Several CPT/HCPCS codes for placement of interstitial devices and related procedures were reactivated with effective date 7/1/2024 after prior removal on 4/1/2024.
Billing & Activation Guidance
Billing and activation guidance
Provider billing should follow the listed activation/reactivation dates and note any prior removals when submitting claims or requesting authorizations.
Radiation Therapy and Related Procedure Codes
| 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 for arrhythmia; noninvasive arrhythmia localization and mapping |
| 0746T | Conversion of arrhythmia localization into multidimensional radiation treatment plan |
| 0747T | Delivery of radiation therapy for arrhythmia |
| 19294 | Preparation of tumor cavity with placement of radiation therapy applicator for IORT concurrent with partial mastectomy |
| 19296 | Placement of radiotherapy afterloading expandable catheter into breast following partial mastectomy (separate date) |
| 32553 | Placement of interstitial device(s) for radiation therapy guidance, percutaneous, intra-thoracic |
| 49411 | Placement of interstitial device(s) for radiation therapy guidance, percutaneous, intra-abdominal/intra-pelvic |
| 49412 | Placement of interstitial device(s) open, intra-abdominal/intra-pelvic including image guidance |
Provider Billing & Reference Actions
Code activation and billing reference — cite code-specific activation/reactivation dates
When billing or requesting prior authorization, reference the specific CPT/HCPCS code and its listed activation/reactivation (start) date shown in this code list. Note any prior removal entries and the reactivation effective date when applicable (for example, codes shown as “Removed 4/1/2024” and later “Reactivated 7/1/2024”).
- Bill using the exact CPT/HCPCS code and description as listed (e.g., 0394T “HDR electronic brachytherapy, skin surface application, per fraction”; 19294 “Preparation of tumor cavity, with placement of radiation therapy applicator for intraoperative radiation therapy (IORT), concurrent with partial mastectomy”).
- Use the listed Start/Effective date for each code when submitting claims (e.g., 0394T Start Date = 7/1/2020; overall list Effective = 7/1/2024).
- If a code shows a prior removal and later reactivation, cite the reactivation effective date when billing (examples in the policy show codes removed on 4/1/2024 and reactivated 7/1/2024).
Term Clarifications
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