HCPCS code C8004 — Sim ang w/prs cath rad emb.
Status: Active.
Effective Apr 1, 2025.
Source: CMS HCPCS Level II.
C8004
ActiveSim ang w/prs cath rad emb
Simulation angiogram 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 angiogram, for subsequent therapeutic radioembolization of tumors
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Apr 1, 2025
Code type:
alphanumeric
OPPS Status:
J1
— Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC:
5193
MUE — Medically Unlikely Edits
Maximum units of C8004 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.
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New Code 2025-Q2Sim ang w/prs cath rad emb