Showing codes C9796 (Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])) — CS (Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency)
C9796 - Rpr intst excl anrect fist
Long description: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9797 - Vasc emb/occ w/prs cath
Long description: Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9800 - Dermal filler inj px/suppl
Long description: Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
Code added date: 20100701.
Code effective date: 20170101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9803 - Hopd covid-19 spec collect
Long description: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
Code added date: 20200301.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9804 - Pump elastomc non-opioid dev
Long description: Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9806 - Pump perist non-opioid dev
Long description: Rotary peristaltic infusion pump (e.g., ambit pump), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9807 - Nerve stim non-opioid dev
Long description: Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9808 - Cryo probe non-opioid dev
Long description: Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9809 - Cryo needle non-opioid dev
Long description: Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Code added date: 20250101.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9898 - Inpnt stay radiolabeled item
Long description: Radiolabeled product provided during a hospital inpatient stay
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s):
00
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9899 - Inpt implant pros dev,no cov
Long description: Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9901 - Endo defect closure gi tract
Long description: Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
Code added date: 20240701.
Code effective date: 20240701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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CA - Procedure payable inpatient
Long description: Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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CB - Esrd bene part a snf-sep pay
Long description: Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable
Code added date: 20030401.
Code effective date: 20040101.
Coverage Code: C (A code denoting Medicare coverage status).
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CC - Procedure code change
Long description: Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
Code added date: 19900101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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CD - Amcc test for esrd or mcp md
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CE - Med neces amcc tst sep reimb
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CF - Amcc tst not composite rate
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CG - Policy criteria applied
Long description: Policy criteria applied
Code added date: 20080701.
Code effective date: 20080701.
Coverage Code: C (A code denoting Medicare coverage status).
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CH - 0 percent impaired, ltd, res
Long description: 0 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CI - 1 to <20 percent impaired
Long description: At least 1 percent but less than 20 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CJ - 20 to <40 percent impaired
Long description: At least 20 percent but less than 40 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CK - 40 to <60 percent impaired
Long description: At least 40 percent but less than 60 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CL - 60 to <80 percent impaired
Long description: At least 60 percent but less than 80 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CM - 80 to <100 percent impaired
Long description: At least 80 percent but less than 100 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CN - 100 percent impaired, ltd
Long description: 100 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CO - Outpatient ot service by ota
Long description: Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant
Code added date: 20190101.
Code effective date: 20190101.
Coverage Code: C (A code denoting Medicare coverage status).
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CP - C-apc adjunctive service
Long description: Adjunctive service related to a procedure assigned to a comprehensive ambulatory payment classification (c-apc) procedure, but reported on a different claim
Code added date: 20160101.
Code effective date: 20180101.
Coverage Code: C (A code denoting Medicare coverage status).
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CQ - Outpatient pt service by pta
Long description: Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
Code added date: 20190101.
Code effective date: 20190101.
Coverage Code: C (A code denoting Medicare coverage status).
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CR - Catastrophe/disaster related
Long description: Catastrophe/disaster related
Code added date: 20050821.
Code effective date: 20050821.
Coverage Code: C (A code denoting Medicare coverage status).
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CS - Cost share waiver covid-19
Long description: Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency
Code added date: 20110101.
Code effective date: 20200301.
Coverage Code: C (A code denoting Medicare coverage status).
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