HCPCS code C9606 — Perc d-e cor revasc w ami s. Status: Active. Effective Jan 1, 2013. Source: CMS HCPCS Level II.

C9606

Active

Perc d-e cor revasc w ami s

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2013
Code type: alphanumeric
OPPS Status: C — Inpatient procedures — not paid under OPPS

MUE — Medically Unlikely Edits

Maximum units of C9606 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

NCCI Edits

The following codes cannot be billed together with C9606 without appropriate documentation.

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

Source: CMS National Correct Coding Initiative (NCCI)