Do private payers recognize C2616 for SIR-Spheres microspheres?
Not generally, however, some payers are beginning to recognize this code. This code is required for Medicare claims for services provided in the hospital outpatient department. Private payers should be contacted for their billing requirements. It is recommended that the SIR-Spheres microspheres procedure be preauthorized in advance of services so that questions concerning coverage terms and conditions as well as coding are clarified.
