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Electronic Brachytherapy for Nonmelanoma Skin Cancer

Blue Cross & Blue Shield of Mississippi·Dermatology, Oncology, Radiation Oncology·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Days to comply

Summary

BCBS updated their policy on electronic brachytherapy for nonmelanoma skin cancer, adding new CPT codes 77436-77439 effective January 1, 2026, while deleting code 0394T as of December 31, 2025. The treatment remains classified as investigational and not covered.

Action Required

Action needed
By December 31, 2025: Billing team must stop using CPT code 0394T for electronic brachytherapy procedures. By January 1, 2026: Update billing system to include new CPT codes 77436-77439 for surface radiation therapy, but mark as investigational/non-covered. Update encounter forms and billing software to reflect these code changes. Claims using these codes will likely be denied as the procedure remains investigational.

Affected Billing Codes

77436
77437
77438
77439