HCPCS code C9804 — Pump elastomc non-opioid dev.
Status: Active.
Effective Jan 1, 2025.
Source: CMS HCPCS Level II.
C9804
ActivePump elastomc non-opioid dev
Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2025
Code type:
alphanumeric
OPPS Status:
H1
OPPS APC:
2048
MUE — Medically Unlikely Edits
Maximum units of C9804 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 |
|---|---|
| DME Supplier | 1 |
| 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 2025-Q1Pump elastomc non-opioid dev