C2638 Brachytx, stranded, i-125Brachytherapy source, stranded, iodine-125, per source
C2638 appears in 2 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Brachytherapy (0371) | covered if criteria are met | May 20, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Brachytherapy For Clinically Localized Prostate Cancer Using Permanently Implanted Seeds (L.8.01.417) | covered if criteria are met | payer document |
Prior authorization required or conditional in WV.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.