C2616 HCPCS code: Brachytherapy source, non-stranded, yttrium-90, per source
C2616 is the HCPCS Level II code for brachytherapy source, non-stranded, yttrium-90, per source. In 2024 Medicare paid an average of $13,466.78 per service for C2616 across 25 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims. In 2024, about 2 clinicians billed Medicare for C2616 for 20 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | I4B |
| Added | 2001-04-01 |
| Last action effective | 2001-04-01 |
Who bills C2616 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 2 |
| Medicare beneficiaries | 20 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C2616, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 25 | 20 | $16,902.18 | $13,466.78 |
States with the most C2616 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Arkansas | 17 | $13,466.78 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
What changed for C2616
- 2001-04-01: C2616 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C2616?
C2616 is the HCPCS Level II code for brachytherapy source, non-stranded, yttrium-90, per source. Short descriptor: "Brachytx, non-str,yttrium-90".
How much does Medicare pay for C2616?
In 2024, the average Medicare payment was $13,466.78 per service (average allowed $16,902.18).
Does Medicare cover C2616?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C2616 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C26 codes
- C2613 — Lung biopsy plug with delivery system
- C2614 — Probe, percutaneous lumbar discectomy
- C2615 — Sealant, pulmonary, liquid
- C2617 — Stent, non-coronary, temporary, without delivery system
- C2618 — Probe/needle, cryoablation
- C2619 — Pacemaker, dual chamber, non rate-responsive (implantable)
- C2620 — Pacemaker, single chamber, non rate-responsive (implantable)
- C2621 — Pacemaker, other than single or dual chamber (implantable)
- C2622 — Prosthesis, penile, non-inflatable
- C2623 — Catheter, transluminal angioplasty, drug-coated, non-laser
- C2624 — Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
- C2625 — Stent, non-coronary, temporary, with delivery system
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under C2616
- Watch C2616 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C2616
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.