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Payment for Implantable Tissue Markers: Healthcare Common Procedure Coding System (HCPCS) Code A4648

Change Request (CR) 6579, from which this article is taken, clarifies guidance
regarding payment for implantable tissue markers (HCPCS code A4648 -- Tissue
marker, implantable, any type, each). When billed on a physician claim and used
in conjunction with Current Procedural Terminology (CPT) code 55876 (the
placement of interstitial device(s) for radiation therapy guidance (e.g., fiducial
markers, dosimeter), prostate (via needle, any approach), single or multiple), the use of implantable tissue markers (HCPCS code A4648) is separately billable and
payable by Medicare.

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 27, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.