HCPCS code C1815 — Pros, urinary sph, imp. Status: Active. Effective Jan 1, 2004. Source: CMS HCPCS Level II.

C1815

Active

Pros, urinary sph, imp

Prosthesis, urinary sphincter (implantable)

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2004
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of C1815 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