HCPCS code C9806 — Pump perist non-opioid dev. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

C9806

Active

Pump perist non-opioid dev

Rotary peristaltic infusion pump (e.g., ambit pump), 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: 2056

MUE — Medically Unlikely Edits

Maximum units of C9806 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 2025-Q1
    Pump perist non-opioid dev