HCPCS code C9600 — Perc drug-el cor stent sing. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

C9600

Active

Perc drug-el cor stent sing

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2013
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 C9600 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 3
Practitioner Services 3

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with C9600 without appropriate documentation.

Column 2 Code Modifier
G0269 Modifier may bypass edit
G0471 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)