C9797
ActiveVasc emb/occ w/prs cath
Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction
MUE — Medically Unlikely Edits
Maximum units of C9797 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
NCCI Edits
The following codes cannot be billed together with C9797 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0181 | Modifier cannot bypass edit |
| G0182 | Modifier cannot bypass edit |
| G0463 | Modifier may bypass edit |
| G0471 | Modifier may bypass edit |
| J0670 | Modifier may bypass edit |
| J1642 | Modifier may bypass edit |
| J1644 | 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 2024-Q1Vasc emb/occ w/prs cath