HCPCS code C1602 — Orth/matrx/bn fill drug-elut. Status: Active. Effective Jan 1, 2024. Source: CMS HCPCS Level II.

C1602

Active

Orth/matrx/bn fill drug-elut

Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2024
Code type: alphanumeric
OPPS Status: H — Pass-through device categories
OPPS APC: 2043

MUE — Medically Unlikely Edits

Maximum units of C1602 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2024-Q1
    Orth/matrx/bn fill drug-elut