`C9725`

What C9725 is

Placement of endorectal intracavitary applicator for high intensity brachytherapy

HCPCS Level II long description, CMS October 2026 file. See the C codes page for the full section.

Medically Unlikely Edit (MUE)

Medicare caps C9725 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with C9725? These codes are bundled into it

C9725 is a Column 1 code in 47 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0213T`	Njx paravert w/us cer/thor	1 - modifier may bypass	Check pair
`0216T`	Njx paravert w/us lumb/sac	1 - modifier may bypass	Check pair
`0708T`	Id ca immntx prep & 1st njx	1 - modifier may bypass	Check pair
`0709T`	Id ca immntx each addl njx	1 - modifier may bypass	Check pair
`36000`	Place needle in vein	1 - modifier may bypass	Check pair
`36410`	Vnpnxr 3yr/> phy/qhp dx/ther	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`43752`	Nasal/orogastric w/tube plmt	1 - modifier may bypass	Check pair
`45900`	Reduction of rectal prolapse	0 - no modifier bypass	Check pair
`45905`	Dilation of anal sphincter	0 - no modifier bypass	Check pair
`45910`	Dilation of rectal narrowing	0 - no modifier bypass	Check pair
`45915`	Remove rectal obstruction	0 - no modifier bypass	Check pair
`45990`	Surg dx exam anorectal	0 - no modifier bypass	Check pair
`46040`	I&d ischiorct&/perirct absc	0 - no modifier bypass	Check pair
`46080`	Sphnctrotmy anal div sphnctr	0 - no modifier bypass	Check pair
`46220`	Excise anal ext tag/papilla	0 - no modifier bypass	Check pair
`46600`	Diagnostic anoscopy spx	0 - no modifier bypass	Check pair
`46601`	Diagnostic anoscopy	0 - no modifier bypass	Check pair
`46940`	Treatment of anal fissure	0 - no modifier bypass	Check pair
`46942`	Treatment of anal fissure	0 - no modifier bypass	Check pair
`61650`	Evasc prlng admn rx agnt 1st	1 - modifier may bypass	Check pair
`62324`	Njx interlaminar crv/thrc	1 - modifier may bypass	Check pair
`62325`	Njx interlaminar crv/thrc	1 - modifier may bypass	Check pair
`62326`	Njx interlaminar lmbr/sac	1 - modifier may bypass	Check pair
`62327`	Njx interlaminar lmbr/sac	1 - modifier may bypass	Check pair
`64415`	Njx aa&/strd brch plxs img	1 - modifier may bypass	Check pair
`64416`	Njx aa&/strd brch pl nfs img	1 - modifier may bypass	Check pair
`64417`	Njx aa&/strd ax nerve img	1 - modifier may bypass	Check pair
`64450`	Njx aa&/strd other pn/branch	1 - modifier may bypass	Check pair

Showing 30 of 47 column 2 codes. Use the pair checker for any specific combination.

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.