HCPCS C Codes | Complete List (Updated 2024)

Welcome to our in-depth guide on HCPCS C Codes, a vital aspect of medical billing and coding. These codes play a pivotal role in accurately documenting and reimbursing for essential medical services. In this guide, we delve into the specifics of HCPCS Temporary Codes for Use with Outpatient Prospective Payment System. Additionally, we provide a list of HCPCS C-Codes with detailed descriptions for seamless navigation.

HCPCS C Codes

HCPCS C Codes

Temporary Codes for Use with Outpatient Prospective Payment System

Healthcare Common Procedure Coding System C Codes play a crucial role in the realm of healthcare, particularly within the Outpatient Prospective Payment System (OPPS). These temporary codes provide a standardized way to communicate medical procedures, services, and supplies, facilitating accurate billing and reimbursement processes. In the table below, we have listed all the HCPCS C-Codes, with their significance and description. Additionally, how healthcare professionals can optimize their use for improved reimbursement outcomes.

HCPCS C-CodesHCPCS C Codes Description
C1052 Hemostatic agent, gastrointestinal, topical
C1062 Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
C1300 Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval
C1600 Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)   New
C1601 Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)   New
C1602 Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)   New
C1603 Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)   New
C1604 Graft, transmural transvenous arterial bypass (implantable), with all delivery system components   New
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
C1714 Catheter, transluminal atherectomy, directional
C1715 Brachytherapy needle
C1716 Brachytherapy source, non-stranded, gold-198, per source
C1717 Brachytherapy source, non-stranded, high dose rate iridium-192, per source
C1719 Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
C1721 Cardioverter-defibrillator, dual chamber (implantable)
C1722 Cardioverter-defibrillator, single chamber (implantable)
C1724 Catheter, transluminal atherectomy, rotational
C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)
C1726 Catheter, balloon dilatation, non-vascular
C1727 Catheter, balloon tissue dissector, non-vascular (insertable)
C1728 Catheter, brachytherapy seed administration
C1729 Catheter, drainage
C1730 Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)
C1731 Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes)
C1732 Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping
C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip
C1734 Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
C1747 Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)
C1748 Endoscope, single-use (i.e. disposable), upper gi, imaging/illumination device (insertable)
C1749 Endoscope, retrograde imaging/illumination colonoscope device (implantable)
C1750 Catheter, hemodialysis/peritoneal, long-term
C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)
C1752 Catheter, hemodialysis/peritoneal, short-term
C1753 Catheter, intravascular ultrasound
C1754 Catheter, intradiscal
C1755 Catheter, intraspinal
C1756 Catheter, pacing, transesophageal
C1757 Catheter, thrombectomy/embolectomy
C1758 Catheter, ureteral
C1759 Catheter, intracardiac echocardiography
C1760 Closure device, vascular (implantable/insertable)
C1761 Catheter, transluminal intravascular lithotripsy, coronary
C1762 Connective tissue, human (includes fascia lata)
C1763 Connective tissue, non-human (includes synthetic)
C1764 Event recorder, cardiac (implantable)
C1765 Adhesion barrier
C1766 Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
C1767 Generator, neurostimulator (implantable), non-rechargeable
C1768 Graft, vascular
C1769 Guide wire
C1770 Imaging coil, magnetic resonance (insertable)
C1771 Repair device, urinary, incontinence, with sling graft
C1772 Infusion pump, programmable (implantable)
C1773 Retrieval device, insertable (used to retrieve fractured medical devices)
C1776 Joint device (implantable)
C1777 Lead, cardioverter-defibrillator, endocardial single coil (implantable)
C1778 Lead, neurostimulator (implantable)
C1779 Lead, pacemaker, transvenous vdd single pass
C1780 Lens, intraocular (new technology)
C1781 Mesh (implantable)
C1782 Morcellator
C1783 Ocular implant, aqueous drainage assist device
C1784 Ocular device, intraoperative, detached retina
C1785 Pacemaker, dual chamber, rate-responsive (implantable)
C1786 Pacemaker, single chamber, rate-responsive (implantable)
C1787 Patient programmer, neurostimulator
C1788 Port, indwelling (implantable)
C1789 Prosthesis, breast (implantable)
C1813 Prosthesis, penile, inflatable
C1814 Retinal tamponade device, silicone oil
C1815 Prosthesis, urinary sphincter (implantable)
C1816 Receiver and/or transmitter, neurostimulator (implantable)
C1817 Septal defect implant system, intracardiac
C1818 Integrated keratoprosthesis
C1819 Surgical tissue localization and excision device (implantable)
C1820 Generator, neurostimulator (implantable), with rechargeable battery and charging system
C1821 Interspinous process distraction device (implantable)
C1822 Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
C1823 Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads
C1824 Generator, cardiac contractility modulation (implantable)
C1825 Generator, neurostimulator (implantable), non-rechargeable with carotid sinus baroreceptor stimulation lead(s)
C1826 Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system
C1827 Generator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller
C1830 Powered bone marrow biopsy needle
C1831 Interbody cage, anterior, lateral or posterior, personalized (implantable)
C1832 Autograft suspension, including cell processing and application, and all system components
C1833 Monitor, cardiac, including intracardiac lead and all system components (implantable)
C1834 Pressure sensor system, includes all components (e.g., introducer, sensor), intramuscular (implantable), excludes mobile (wireless) software application
C1839 Iris prosthesis
C1840 Lens, intraocular (telescopic)
C1841 Retinal prosthesis, includes all internal and external components
C1842 Retinal prosthesis, includes all internal and external components; add-on to c1841
C1849 Skin substitute, synthetic, resorbable, per square centimeter
C1874 Stent, coated/covered, with delivery system
C1875 Stent, coated/covered, without delivery system
C1876 Stent, non-coated/non-covered, with delivery system
C1877 Stent, non-coated/non-covered, without delivery system
C1878 Material for vocal cord medialization, synthetic (implantable)
C1880 Vena cava filter
C1881 Dialysis access system (implantable)
C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)
C1883 Adapter/extension, pacing lead or neurostimulator lead (implantable)
C1884 Embolization protective system
C1885 Catheter, transluminal angioplasty, laser
C1886 Catheter, extravascular tissue ablation, any modality (insertable)
C1887 Catheter, guiding (may include infusion/perfusion capability)
C1888 Catheter, ablation, non-cardiac, endovascular (implantable)
C1889 Implantable/insertable device, not otherwise classified
C1890 No implantable/insertable device used with device-intensive procedures
C1891 Infusion pump, non-programmable, permanent (implantable)
C1892 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away
C1893 Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser
C1895 Lead, cardioverter-defibrillator, endocardial dual coil (implantable)
C1896 Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)
C1897 Lead, neurostimulator test kit (implantable)
C1898 Lead, pacemaker, other than transvenous vdd single pass
C1899 Lead, pacemaker/cardioverter-defibrillator combination (implantable)
C1900 Lead, left ventricular coronary venous system
C1982 Catheter, pressure-generating, one-way valve, intermittently occlusive
C2596 Probe, image-guided, robotic, waterjet ablation
C2613 Lung biopsy plug with delivery system
C2614 Probe, percutaneous lumbar discectomy
C2615 Sealant, pulmonary, liquid
C2616 Brachytherapy source, non-stranded, yttrium-90, per source
C2617 Stent, non-coronary, temporary, without delivery system
C2618 Probe/needle, cryoablation
C2619 Pacemaker, dual chamber, non rate-responsive (implantable)
C2620 Pacemaker, single chamber, non rate-responsive (implantable)
C2621 Pacemaker, other than single or dual chamber (implantable)
C2622 Prosthesis, penile, non-inflatable
C2623 Catheter, transluminal angioplasty, drug-coated, non-laser
C2624 Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
C2625 Stent, non-coronary, temporary, with delivery system
C2626 Infusion pump, non-programmable, temporary (implantable)
C2627 Catheter, suprapubic/cystoscopic
C2628 Catheter, occlusion
C2629 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser
C2630 Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip
C2631 Repair device, urinary, incontinence, without sling graft
C2634 Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source
C2635 Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source
C2636 Brachytherapy linear source, non-stranded, palladium-103, per 1 mm
C2637 Brachytherapy source, non-stranded, ytterbium-169, per source
C2638 Brachytherapy source, stranded, iodine-125, per source
C2639 Brachytherapy source, non-stranded, iodine-125, per source
C2640 Brachytherapy source, stranded, palladium-103, per source
C2641 Brachytherapy source, non-stranded, palladium-103, per source
C2642 Brachytherapy source, stranded, cesium-131, per source
C2643 Brachytherapy source, non-stranded, cesium-131, per source
C2644 Brachytherapy source, cesium-131 chloride solution, per millicurie
C2645 Brachytherapy planar source, palladium-103, per square millimeter
C2698 Brachytherapy source, stranded, not otherwise specified, per source
C2699 Brachytherapy source, non-stranded, not otherwise specified, per source
C5271 Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
C5272 Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
C5273 Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
C5274 Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
C5275 Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
C5276 Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
C5277 Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
C5278 Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
C7500 Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (eg, subfacial) drug-delivery device(s)
C7501 Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)
C7502 Percutaneous breast biopsies using magnetic resonance guidance, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral or bilateral (for single lesion biopsy, use appropriate code)
C7503 Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg, mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed
C7504 Percutaneous vertebroplasties (bone biopsies included when performed), first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance
C7505 Percutaneous vertebroplasties (bone biopsies included when performed), first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies, unilateral or bilateral injection, inclusive of all imaging guidance
C7506 Arthrodesis, interphalangeal joints, with or without internal fixation
C7507 Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance
C7508 Percutaneous vertebral augmentations, first lumbar and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg, kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance
C7509 Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
C7510 Bronchoscopy, rigid or flexible, with bronchial alveolar lavage(s), with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
C7511 Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed
C7512 Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed
C7513 Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty of central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report
C7514 Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with all angioplasty in the central dialysis segment, and transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all required imaging, radiological supervision and interpretation, image documentation and report
C7515 Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins, including all required imaging, radiological supervision and interpretation, image documentation and report
C7516 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7517 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation
C7518 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging, supervision, interpretation and report
C7519 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7520 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation
C7521 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7522 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7523 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7524 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7525 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7526 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7527 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
C7528 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7529 Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
C7530 Dialysis circuit, introduction of needle(s) and/or catheter(s), with diagnostic angiography of the dialysis circuit, including all direct puncture(s) and catheter placement(s), injection(s) of contrast, all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava, fluoroscopic guidance, with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment, with transcatheter placement of intravascular stent(s), central dialysis segment, performed through dialysis circuit, including all imaging, radiological supervision and interpretation, documentation and report
C7531 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
C7532 Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), initial artery, open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
C7533 Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy
C7534 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with atherectomy, includes angioplasty within the same vessel, when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
C7535 Revascularization, endovascular, open or percutaneous, femoral, popliteal artery(ies), unilateral, with transluminal stent placement(s), includes angioplasty within the same vessel, when performed, with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation
C7537 Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable debribrillator or pacemake pulse generator (eg, for upgrade to dual chamber system)
C7538 Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defribrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
C7539 Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
C7540 Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator, dual lead system, with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
C7541 Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
C7542 Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
C7543 Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
C7544 Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s), with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
C7545 Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation
C7546 Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation
C7547 Convert nephrostomy catheter to nephroureteral catheter, percutaneous via pre-existing nephrostomy tract, with ureteral stricture balloon dialation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
C7548 Exchange nephrostomy catheter, percutaneous, with ureteral stricture balloon dilation, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
C7549 Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation
C7550 Cystourethroscopy, with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent
C7551 Excision of major peripheral nerve neuroma, except sciatic, with implantation of nerve end into bone or muscle
C7552 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress, initial vessel
C7553 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed
C7554 Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent
C7555 Thyroidectomy, total or complete with parathyroid autotransplantation
C7556 Bronchoscopy, rigid or flexible, with bronchial alveolar lavage and transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance, when performed   New
C7557 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention   New
C7558 Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed   New
C7560 Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s)   New
C7900 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 15-29 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service
C7902 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service)
C7903 Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service   New
C8900 Magnetic resonance angiography with contrast, abdomen
C8901 Magnetic resonance angiography without contrast, abdomen
C8902 Magnetic resonance angiography without contrast followed by with contrast, abdomen
C8903 Magnetic resonance imaging with contrast, breast; unilateral
C8904 Magnetic resonance imaging without contrast, breast; unilateral
C8905 Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
C8906 Magnetic resonance imaging with contrast, breast; bilateral
C8907 Magnetic resonance imaging without contrast, breast; bilateral
C8908 Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
C8909 Magnetic resonance angiography with contrast, chest (excluding myocardium)
C8910 Magnetic resonance angiography without contrast, chest (excluding myocardium)
C8911 Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
C8912 Magnetic resonance angiography with contrast, lower extremity
C8913 Magnetic resonance angiography without contrast, lower extremity
C8914 Magnetic resonance angiography without contrast followed by with contrast, lower extremity
C8918 Magnetic resonance angiography with contrast, pelvis
C8919 Magnetic resonance angiography without contrast, pelvis
C8920 Magnetic resonance angiography without contrast followed by with contrast, pelvis
C8921 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete
C8922 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study
C8923 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography
C8924 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study
C8925 Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report
C8926 Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
C8927 Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis
C8928 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report
C8929 Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography
C8930 Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision
C8931 Magnetic resonance angiography with contrast, spinal canal and contents
C8932 Magnetic resonance angiography without contrast, spinal canal and contents
C8933 Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents
C8934 Magnetic resonance angiography with contrast, upper extremity
C8935 Magnetic resonance angiography without contrast, upper extremity
C8936 Magnetic resonance angiography without contrast followed by with contrast, upper extremity
C8937 Computer-aided detection, including computer algorithm analysis of breast mri image data for lesion detection/characterization, pharmacokinetic analysis, with further physician review for interpretation (list separately in addition to code for primary procedure)
C8957 Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump
C9014 Injection, cerliponase alfa, 1 mg
C9015 Injection, c-1 esterase inhibitor (human), haegarda, 10 units
C9016 Injection, triptorelin extended release, 3.75 mg
C9021 Injection, obinutuzumab, 10 mg
C9022 Injection, elosulfase alfa, 1mg
C9023 Injection, testosterone undecanoate, 1 mg
C9024 Injection, liposomal, 1 mg daunorubicin and 2.27 mg cytarabine
C9025 Injection, ramucirumab, 5 mg
C9026 Injection, vedolizumab, 1 mg
C9027 Injection, pembrolizumab, 1 mg
C9028 Injection, inotuzumab ozogamicin, 0.1 mg
C9029 Injection, guselkumab, 1 mg
C9030 Injection, copanlisib, 1 mg
C9031 Lutetium lu 177, dotatate, therapeutic, 1 mci
C9032 Injection, voretigene neparvovec-rzyl, 1 billion vector genome
C9033 Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
C9034 Injection, dexamethasone 9%, intraocular, 1 mcg
C9035 Injection, aripiprazole lauroxil (aristada initio), 1 mg
C9036 Injection, patisiran, 0.1 mg
C9037 Injection, risperidone (perseris), 0.5 mg
C9038 Injection, mogamulizumab-kpkc, 1 mg
C9039 Injection, plazomicin, 5 mg
C9040 Injection, fremanezumab-vfrm, 1mg
C9041 Injection, coagulation factor xa (recombinant), inactivated (andexxa), 10 mg
C9042 Injection, bendamustine hcl (belrapzo), 1 mg
C9043 Injection, levoleucovorin, 1 mg
C9044 Injection, cemiplimab-rwlc, 1 mg
C9045 Injection, moxetumomab pasudotox-tdfk, 0.01 mg
C9046 Cocaine hydrochloride nasal solution (goprelto), 1 mg
C9047 Injection, caplacizumab-yhdp, 1 mg
C9048 Dexamethasone, lacrimal ophthalmic insert, 0.1 mg
C9049 Injection, tagraxofusp-erzs, 10 mcg
C9050 Injection, emapalumab-lzsg, 1 mg
C9051 Injection, omadacycline, 1 mg
C9052 Injection, ravulizumab-cwvz, 10 mg
C9053 Injection, crizanlizumab-tmca, 1 mg
C9054 Injection, lefamulin (xenleta), 1 mg
C9055 Injection, brexanolone, 1mg
C9056 Injection, givosiran, 0.5 mg
C9057 Injection, cetirizine hydrochloride, 1 mg
C9058 Injection, pegfilgrastim-bmez, biosimilar, (ziextenzo) 0.5 mg
C9059 Injection, meloxicam, 1 mg
C9060 Fluoroestradiol f18, diagnostic, 1 mci
C9061 Injection, teprotumumab-trbw, 10 mg
C9062 Injection, daratumumab 10 mg and hyaluronidase-fihj
C9063 Injection, eptinezumab-jjmr, 1 mg
C9064 Mitomycin pyelocalyceal instillation, 1 mg
C9065 Injection, romidepsin, non-lyophilized (e.g. liquid), 1mg
C9066 Injection, sacituzumab govitecan-hziy, 2.5 mg
C9067 Gallium ga-68, dotatoc, diagnostic, 0.01 mci
C9068 Copper cu-64, dotatate, diagnostic, 1 millicurie
C9069 Injection, belantamab mafodontin-blmf, 0.5 mg
C9070 Injection, tafasitamab-cxix, 2 mg
C9071 Injection, viltolarsen, 10 mg
C9072 Injection, immune globulin (asceniv), 500 mg
C9073 Brexucabtagene autoleucel, up to 200 million autologous anti-cd19 car positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9074 Injection, lumasiran, 0.5 mg
C9075 Injection, casimersen, 10 mg
C9076 Lisocabtagene maraleucel, up to 110 million autologous anti-cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9077 Injection, cabotegravir and rilpivirine, 2mg/3mg
C9078 Injection, trilaciclib, 1 mg
C9079 Injection, evinacumab-dgnb, 5 mg
C9080 Injection, melphalan flufenamide hydrochloride, 1 mg
C9081 Idecabtagene vicleucel, up to 460 million autologous anti-bcma car-positive viable t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9082 Injection, dostarlimab-gxly, 100 mg
C9083 Injection, amivantamab-vmjw, 10 mg
C9084 Injection, loncastuximab tesirine-lpyl, 0.1 mg
C9085 Injection, avalglucosidase alfa-ngpt, 4 mg
C9086 Injection, anifrolumab-fnia, 1 mg
C9087 Injection, cyclophosphamide, (auromedics), 10 mg
C9088 Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg
C9089 Bupivacaine, collagen-matrix implant, 1 mg
C9090 Injection, plasminogen, human-tvmh, 1 mg
C9091 Injection, sirolimus protein-bound particles, 1 mg
C9092 Injection, triamcinolone acetonide, suprachoroidal (xipere), 1 mg
C9093 Injection, ranibizumab, via sustained release intravitreal implant (susvimo), 0.1 mg
C9094 Inj, sutimlimab-jome, 10 mg
C9095 Inj, tebentafusp-tebn, 1 mcg
C9096 Injection, filgrastim-ayow, biosimilar, (releuko), 1 microgram
C9097 Inj, faricimab-svoa, 0.1 mg
C9098 Ciltacabtagene autoleucel, up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells, including leukapheresis and dose preparation procedures, per therapeutic dose
C9101 Injection, oliceridine, 0.1 mg
C9113 Injection, pantoprazole sodium, per vial
C9121 Injection, argatroban, per 5 mg
C9122 Mometasone furoate sinus implant, 10 micrograms (sinuva)
C9132 Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity
C9133 Factor ix (antihemophilic factor, recombinant), rixubis, per i.u.
C9134 Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u.
C9135 Factor ix (antihemophilic factor, recombinant), alprolix, per i.u.
C9136 Injection, factor viii, fc fusion protein, (recombinant), per i.u.
C9137 Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u.
C9138 Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u.
C9139 Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.
C9140 Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u.
C9141 Injection, factor viii, (antihemophilic factor, recombinant), pegylated-aucl (jivi), 1 i.u.
C9142 Injection, bevacizumab-maly, biosimilar, (alymsys), 10 mg
C9143 Cocaine hydrochloride nasal solution (numbrino), 1 mg
C9144 Injection, bupivacaine (posimir), 1 mg
C9145  Injection, aprepitant, (aponvie), 1 mg
C9146 Injection, mirvetuximab soravtansine-gynx, 1 mg
C9147 Injection, tremelimumab-actl, 1 mg
C9148 Injection, teclistamab-cqyv, 0.5 mg
C9149 Injection, teplizumab-mzwv, 5 mcg
C9150 Xenon xe-129 hyperpolarized gas, diagnostic, per study dose
C9151 Injection, pegcetacoplan, 1 mg
C9152 Injection, aripiprazole, (abilify asimtufii), 1 mg   Discontinued
C9153 Injection, amisulpride, 1 mg   Discontinued
C9154 Injection, buprenorphine extended-release (brixadi), 1 mg   Discontinued
C9155 Injection, epcoritamab-bysp, 0.16 mg   Discontinued
C9156 Flotufolastat f 18, diagnostic, 1 millicurie   Discontinued
C9157 Injection, tofersen, 1 mg   Discontinued
C9158 Injection, risperidone, (uzedy), 1 mg   Discontinued
C9159 Injection, prothrombin complex concentrate (human), balfaxar, per i.u. of factor ix activity   New
C9160 Injection, daxibotulinumtoxina-lanm, 1 unit   New
C9161 Injection, aflibercept hd, 1 mg   New
C9162 Injection, avacincaptad pegol, 0.1 mg   New
C9163 Injection, talquetamab-tgvs, 0.25 mg   New
C9164 Cantharidin for topical administration, 0.7%, single unit dose applicator (3.2 mg)   New
C9165 Injection, elranatamab-bcmm, 1 mg   New
C9248 Injection, clevidipine butyrate, 1 mg
C9250 Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml
C9254 Injection, lacosamide, 1 mg
C9257 Injection, bevacizumab, 0.25 mg
C9275 Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose
C9285 Lidocaine 70 mg/tetracaine 70 mg, per patch
C9290 Injection, bupivacaine liposome, 1 mg
C9293 Injection, glucarpidase, 10 units
C9349 Puraply, and puraply antimicrobial, any type, per square centimeter
C9352 Microporous collagen implantable tube (neuragen nerve guide), per centimeter length
C9353 Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length
C9354 Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter
C9355 Collagen nerve cuff (neuromatrix), per 0.5 centimeter length
C9356 Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter
C9358 Dermal substitute, native, non-denatured collagen, fetal bovine origin (surgimend collagen matrix), per 0.5 square centimeters
C9359 Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc
C9360 Dermal substitute, native, non-denatured collagen, neonatal bovine origin (surgimend collagen matrix), per 0.5 square centimeters
C9361 Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length
C9362 Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold strip), per 0.5 cc
C9363 Skin substitute, integra meshed bilayer wound matrix, per square centimeter
C9364 Porcine implant, permacol, per square centimeter
C9399 Unclassified drugs or biologicals
C9407 Iodine i-131 iobenguane, diagnostic, 1 millicurie
C9408 Iodine i-131 iobenguane, therapeutic, 1 millicurie
C9441 Injection, ferric carboxymaltose, 1 mg
C9442 Injection, belinostat, 10 mg
C9443 Injection, dalbavancin, 10 mg
C9444 Injection, oritavancin, 10 mg
C9445 Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
C9446 Injection, tedizolid phosphate, 1 mg
C9447 Injection, phenylephrine and ketorolac, 4 ml vial
C9448 Netupitant 300 mg and palonosetron 0.5 mg, oral
C9449 Injection, blinatumomab, 1 mcg
C9450 Injection, fluocinolone acetonide intravitreal implant, 0.01 mg
C9451 Injection, peramivir, 1 mg
C9452 Injection, ceftolozane 50 mg and tazobactam 25 mg
C9453 Injection, nivolumab, 1 mg
C9454 Injection, pasireotide long acting, 1 mg
C9455 Injection, siltuximab, 10 mg
C9456 Injection, isavuconazonium sulfate, 1 mg
C9457 Injection, sulfur hexafluoride lipid microsphere, per ml
C9458 Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries
C9459 Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries
C9460 Injection, cangrelor, 1 mg
C9461 Choline c 11, diagnostic, per study dose
C9462 Injection, delafloxacin, 1 mg
C9463 Injection, aprepitant, 1 mg
C9464 Injection, rolapitant, 0.5 mg
C9465 Hyaluronan or derivative, durolane, for intra-articular injection, per dose
C9466 Injection, benralizumab, 1 mg
C9467 Injection, rituximab and hyaluronidase, 10 mg
C9468 Injection, factor ix (antihemophilic factor, recombinant), glycopegylated, rebinyn, 1 i.u.
C9469 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
C9470 Injection, aripiprazole lauroxil, 1 mg
C9471 Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg
C9472 Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)
C9473 Injection, mepolizumab, 1 mg
C9474 Injection, irinotecan liposome, 1 mg
C9475 Injection, necitumumab, 1 mg
C9476 Injection, daratumumab, 10 mg
C9477 Injection, elotuzumab, 1 mg
C9478 Injection, sebelipase alfa, 1 mg
C9479 Instillation, ciprofloxacin otic suspension, 6 mg
C9480 Injection, trabectedin, 0.1 mg
C9481 Injection, reslizumab, 1 mg
C9482 Injection, sotalol hydrochloride, 1 mg
C9483 Injection, atezolizumab, 10 mg
C9484 Injection, eteplirsen, 10 mg
C9485 Injection, olaratumab, 10 mg
C9486 Injection, granisetron extended release, 0.1 mg
C9487 Ustekinumab, for intravenous injection, 1 mg
C9488 Injection, conivaptan hydrochloride, 1 mg
C9489 Injection, nusinersen, 0.1 mg
C9490 Injection, bezlotoxumab, 10 mg
C9491 Injection, avelumab, 10 mg
C9492 Injection, durvalumab, 10 mg
C9493 Injection, edaravone, 1 mg
C9494 Injection, ocrelizumab, 1 mg
C9497 Loxapine, inhalation powder, 10 mg
C9507 Plasma, high titer covid-19 convalescent, each unit
C9600 Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch
C9601 Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
C9602 Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
C9603 Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
C9604 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
C9605 Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)
C9606 Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel
C9607 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel
C9608 Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)
C9724 Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
C9725 Placement of endorectal intracavitary applicator for high intensity brachytherapy
C9726 Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure
C9727 Insertion of implants into the soft palate; minimum of three implants
C9728 Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple
C9733 Non-ophthalmic fluorescent vascular angiography
C9734 Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance
C9735 Anoscopy; with directed submucosal injection(s), any substance
C9737 Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)
C9738 Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
C9739 Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
C9740 Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
C9741 Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report
C9742 Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed
C9743 Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)
C9744 Ultrasound, abdominal, with contrast
C9745 Nasal endoscopy, surgical; balloon dilation of eustachian tube
C9746 Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed
C9747 Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance
C9748 Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy
C9749 Repair of nasal vestibular lateral wall stenosis with implant(s)
C9750 Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode)
C9751 Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)
C9752 Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum
C9753 Destruction of intraosseous basivertebral nerve, each additional vertebral body, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum (list separately in addition to code for primary procedure)
C9754 Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
C9755 Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed
C9756 Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
C9757Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar
C9758 Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
C9759 Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed
C9760 Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
C9761 Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
C9762 Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging
C9763 Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging
C9764 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
C9765 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
C9766 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed
C9767 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
C9768 Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)
C9769 Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts
C9770 Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent   Discontinued
C9771 Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral   Discontinued
C9772 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed
C9773 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
C9774 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed
C9775 Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed
C9776 Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
C9777 Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy
C9778 Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
C9779 Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed
C9780 Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance
C9781 Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed
C9782 Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
C9783 Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catherization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study
C9784 Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
C9785 Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
C9786 Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction, including interpretation and report
C9787 Gastric electrophysiology mapping with simultaneous patient symptom profiling
C9788 Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination   Discontinued
C9789 Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
C9790 Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
C9791 Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
C9792 Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
C9793 3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report   New
C9794 Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)   New
C9795 Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions   New
C9800 Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source  Discontinued
C9898 Radiolabeled product provided during a hospital inpatient stay
C9899 Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage

What are HCPCS C Codes?

These Codes are temporary codes used to identify and report medical procedures, services, and supplies provided in the outpatient setting. These codes are essential for accurate and standardized billing under the OPPS.

C-Codes are designed to address emerging technologies, services, and procedures that do not have established Category I or Category III codes in the Current Procedural Terminology (CPT) code set. These temporary codes enable healthcare providers to submit claims for reimbursement while allowing authorities to gather data for potential permanent code assignment.

How C Codes are Assigned

Understanding the criteria for assigning C-Codes is crucial. Codes are typically assigned when a new technology or service demonstrates clinical efficacy, gains widespread usage. Furthermore, when the existing code set is insufficient to describe the procedure adequately.

The Role of the HCPCS Level II Coding Panel

The HCPCS Level II Coding Panel, consisting of experts in various medical fields, plays a pivotal role in evaluating and assigning these Codes. This panel reviews submissions, assesses clinical evidence, and determines the appropriate temporary code assignment.

Conclusion

In conclusion, mastering HCPCS C-Codes is paramount for healthcare professionals seeking to navigate the intricate landscape of medical billing and coding. Navigate our guide with confidence; furthermore, Check our complete HCPCS Codes Lookup to enhance your coding proficiency. Moreover, Empower yourself and your healthcare organization with the knowledge and precision required for efficient billing, compliance, and optimal patient care.

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