HCPCS code C9785 — Endo outlet restrict w/tube. Status: Active. Effective Jan 1, 2026. Source: CMS HCPCS Level II.

C9785

Active

Endo outlet restrict w/tube

Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2026
Code type: alphanumeric
OPPS Status: J1 — Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC: 5362

MUE — Medically Unlikely Edits

Maximum units of C9785 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.

  • New Code 2026-Q1
    Endo outlet restrict w/tube