HCPCS code C9774 — Revasc lithotr-ather tib/per. Status: Active. Effective Jan 1, 2021. Source: CMS HCPCS Level II.

C9774

Active

Revasc lithotr-ather tib/per

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

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2021
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 C9774 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 C9774 without appropriate documentation.

Column 2 Code Modifier
C9772 Modifier may bypass edit
C9775 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

C9774 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
C9773 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 2021-Q1
    Revasc lithotr-ather tib/per