Table of content for "Grft, trnsmurl/trnsvens byps" (HCPCS C1604)
General information on the “C1604” code
HCPCS Code: C1604
Long Description: Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
Short Description: Grft, trnsmurl/trnsvens byps
Original information is taken from C1604 page
Pricing indicators
Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20240101
Type of service
Berenson-Eggers Type of Service (BETOS): D1A – Medical/surgical supplies
Type Of Service 1: 9 – Other medical items or services
Type Of Service 2: S – Surgical dressings or other medical supplies (eff 04/95)
Type Of Service 3: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240101
Code Effective Date: 20240101
Action Code: N – No maintenance for this code