Showing codes C9815 (Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), 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)) — E0110 (Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips)

C9815 - Peristlc pmp nonopioid dev
Long description: Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), 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: 20260101.
Code effective date: 20260101.
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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C9816 - Pmp prs reusbl nonopioid dev
Long description: Rotary peristaltic infusion pump (e.g., reusable ambit pump) including all disposable system components, reusable 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: 20260101.
Code effective date: 20260101.
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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C9817 - Crypnm cmprs nonopioid dev
Long description: Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), 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: 20260101.
Code effective date: 20260101.
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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C9818 - Suzetrigine, orl, 1mg
Long description: Suzetrigine, oral, 1 mg
Code added date: 20260123.
Code effective date: 20260123.
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: 20260101.
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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CT - Ct does not meet nema standa
Long description: Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard
Code added date: 20160101.
Code effective date: 20160101.
Coverage Code: C (A code denoting Medicare coverage status).
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DA - Oral health assess, not dent
Long description: Oral health assessment by a licensed health professional other than a dentist
Code added date: 20110101.
Code effective date: 20110101.
Coverage Code: C (A code denoting Medicare coverage status).
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E0100 - Cane adjust/fixed with tip
Long description: Cane, includes canes of all materials, adjustable or fixed, with tip
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 32 ; (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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E0105 - Cane adjust/fixed quad/3 pro
Long description: Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 32 ; (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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E0110 - Crutch forearm pair
Long description: Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 32 ; (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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