Table of content for "Revasc lithotrip tibi/perone" (HCPCS C9772)
General information on the “C9772” code
HCPCS Code: C9772
Long Description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed
Short Description: Revasc lithotrip tibi/perone
Original information is taken from C9772 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: 20210101
Type of service
Berenson-Eggers Type of Service (BETOS): P2F – Major procedure, cardiovascular-Other
Type Of Service 1: 2 – Surgery
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20210101
Code Effective Date: 20210101
Action Code: N – No maintenance for this code