HCPCS code C9767 — Revasc lithotrip-stent-ather.
Status: Active.
Effective Jul 1, 2020.
Source: CMS HCPCS Level II.
C9767
ActiveRevasc lithotrip-stent-ather
Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), 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 C9767 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 C9767 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| C9764 | Modifier may bypass edit |
| C9765 | Modifier may bypass edit |
| C9766 | 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 2020-Q3Revasc lithotrip-stent-ather