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. Author manuscript; available in PMC: 2018 Mar 29.
Published in final edited form as: Med Care. 2014 Sep;52(9):e58–e64. doi: 10.1097/MLR.0b013e318277eba5

TABLE A1.

Description of Treatment Based on Medicare Claims—Prostate Cancer

Treatment Category Treatment Type Procedures
Surgery Subtotal, segmental, or simple prostatectomy ICD: 603, 604
CPT: 55801, 55821, 55831
Radical prostatectomy ICD: 605
CPT: 55810, 55812, 55815, 55840, 55842, 55845, 55866
Prostatectomy NOS ICD: 606, 6061, 6062, 6069
CPT: 55899
Cryoprostatectomy/cryosurgery+TURP ICD: 6062
CPT: 55873
Laser ablation/hyperthermia/radiofrequency, microwave ICD: 6096, 6097
CPT: 53850, 53852, 52647, 52648, 55853
ICD:
Other laparoscopic CPT: 55866
Hormonal therapy LHRH agonists CPT: J9202, J9217, J9218, J9219
Radiation Not otherwise specified CPT: 0073T, 77371, 77372, 77373, G0174
External beams CPT: 77401–77423, 77520, 77522, 77523, 77525
Brachytherapy CPT 77326–77328, 77776–77778, 77781–77784, 77790, 77799, 19296, 19298, 19499, 55859
Radiotherapy CPT: 79005, 79101, 79200, 79300, 79440, 79445, 79999
Seed CPT: 55876
Combination therapy Beams and (brachytherapy, seed, or radio)

CPT indicates Current Procedure Terminology; ICD, International Classification of Diseases; LHRH, luteinizing hormone–releasing hormone.