HCPCS code C9601 — Perc drug-el cor stent bran. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

C9601

Active

Perc drug-el cor stent bran

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)

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2013
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of C9601 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 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with C9601 without appropriate documentation.

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

Source: CMS National Correct Coding Initiative (NCCI)