HCPCS Level II › C codes C9725 Place endorectal appPlacement of endorectal intracavitary applicator for high intensity brachytherapy
Medicare coverage: Special coverage instructions apply Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 1 units per day (clinical), rationale: Anatomic Consideration Outpatient hospital: max 1 units per day (clinical), rationale: Anatomic Consideration Payer policies and prior authorization for C9725 Payer coverage policies that name C9725 C9725 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Brachytherapy (0371) covered if criteria are met May 20, 2026 payer document
Medicaid fee-for-service AZ: $297.60 (asc), effective Oct 1, 2026 IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Sep 21, 2018 KY: $498.31 (asc), effective Jan 1, 2026 MA: $328.08 (asc), effective May 1, 2026 ND: $293.76 (physician, facility), effective Aug 1, 2026 VT: $722.08 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $308.28 (asc), effective Jul 1, 2026 WY: $411.26 (outpatient_hospital_apc, Ambulatory Surgical Centers), effective Apr 1, 2026 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.