HCPCS code C9766 — Revasc intra lithotrip-ather. Status: Active. Effective Jul 1, 2020. Source: CMS HCPCS Level II.

C9766

Active

Revasc intra lithotrip-ather

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jul 1, 2020
Code type: alphanumeric
OPPS Status: J1 — Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC: 5194

MUE — Medically Unlikely Edits

Maximum units of C9766 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 C9766 without appropriate documentation.

Column 2 Code Modifier
C9764 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

C9766 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
C9767 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.

  • New Code 2020-Q3
    Revasc intra lithotrip-ather