HCPCS code C9781 — Arthro/shoul surg; w/spacer.
Status: Active.
Effective Apr 1, 2022.
Source: CMS HCPCS Level II.
C9781
ActiveArthro/shoul surg; w/spacer
Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Apr 1, 2022
Code type:
alphanumeric
OPPS Status:
J1
— Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC:
5115
MUE — Medically Unlikely Edits
Maximum units of C9781 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
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 2022-Q2Arthro/shoul surg; w/spacer