Table of content for "Rpr intst excl anrect fist" (HCPCS C9796)
General information on the “C9796” code
HCPCS Code: C9796
Long Description: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
Short Description: Rpr intst excl anrect fist
Original information is taken from C9796 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): P6C – Minor procedures - other (Medicare fee schedule)
Type Of Service 1: 2 – Surgery
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20240101
Code Effective Date: 20240101
Action Code: A – Add procedure or modifier code