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A4648 Implantable tissue marker

A Codes

Also known as: fiducial marker, tumor marker, implanted marker

A small implantable marker or fiducial used for radiation therapy planning and targeting. Placed within or near tumors to improve radiotherapy accuracy and tracking.

In Plain Language

tiny marker implanted near tumor; tracking device for radiation therapy

Clinical Context

Used in image-guided radiation therapy (IGRT) to improve accuracy of treatment planning and targeting. Inserted percutaneously or endoscopically before radiation therapy.

RVU Information

CPT A4648 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

Radiation OncologyOncologyRadiology

Frequently Asked Questions

What is CPT code A4648?

CPT A4648 (Implantable tissue marker) is a A Codes code. A small implantable marker or fiducial used for radiation therapy planning and targeting. Placed within or near tumors to improve radiotherapy accuracy and tracking.

Does Medicare cover A4648?

Medicare coverage for A4648 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in image-guided radiation therapy (IGRT) to improve accuracy of treatment planning and targeting. Inserted percutaneously or endoscopically before radiation therapy. A physician order is typically required.

When is CPT A4648 used?

Used in image-guided radiation therapy (IGRT) to improve accuracy of treatment planning and targeting. Inserted percutaneously or endoscopically before radiation therapy.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.