HCPCS code C9761 — Cysto, litho, vacuum kidney.
Status: Active.
Effective Jan 1, 2023.
Source: CMS HCPCS Level II.
C9761
ActiveCysto, litho, vacuum kidney
Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2023
Code type:
alphanumeric
OPPS Status:
J1
— Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC:
5376
MUE — Medically Unlikely Edits
Maximum units of C9761 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 C9761 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
| G0471 | Modifier cannot bypass edit |
| P9612 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
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 2023-Q1Cysto, litho, vacuum kidney