Showing codes C9757 (Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar) — C9787 (Gastric electrophysiology mapping with simultaneous patient symptom profiling)
C9757 - Spine device implant surgery
Long description: Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar
Code added date: 20200101.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9758 - Blind interatrial shunt ide
Long description: Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
Code added date: 20200101.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9759 - Transcath intraop microinf
Long description: Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9760 - Non-blind interatrial shunt
Long description: Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
Code added date: 20200701.
Code effective date: 20210101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9761 - Cysto, litho, vacuum kidney
Long description: Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
Code added date: 20201001.
Code effective date: 20230101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9762 - Cardiac mri seg dys strain
Long description: Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9763 - Cardiac mri seg dys stress
Long description: Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9764 - Revasc intravasc lithotripsy
Long description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9765 - Revasc intra lithotrip-stent
Long description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9766 - Revasc intra lithotrip-ather
Long description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
C9767 - Revasc lithotrip-stent-ather
Long description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed
Code added date: 20200701.
Code effective date: 20200701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9768 - Endo us-guide hep porto grad
Long description: Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)
Code added date: 20201001.
Code effective date: 20201001.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9769 - Cysto w/temp pros implant
Long description: Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts
Code added date: 20201001.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9770 - Vitrec/mech pars, subret inj
Long description: Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent
Code added date: 20210101.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9771 - Nsl/sins cryo post nasal tis
Long description: Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral
Code added date: 20210101.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9772 - Revasc lithotrip tibi/perone
Long description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed
Code added date: 20210101.
Code effective date: 20210101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9773 - Revasc lithotr-stent tib/per
Long description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
Code added date: 20210101.
Code effective date: 20210101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
C9774 - Revasc lithotr-ather tib/per
Long description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed
Code added date: 20210101.
Code effective date: 20210101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
C9775 - Revasc lith-sten-ath tib/per
Long description: Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed
Code added date: 20210101.
Code effective date: 20210101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9776 - Fluo bile duct imaging w/icg
Long description: Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
Code added date: 20210401.
Code effective date: 20210401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9777 - Esophag muc integ w/eso egd
Long description: Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy
Code added date: 20210401.
Code effective date: 20220101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9778 - Colpopexy, min/inv, ex-perit
Long description: Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
Code added date: 20210701.
Code effective date: 20210701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9779 - Esd endoscopy or colonoscopy
Long description: Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed
Code added date: 20211001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9780 - Insert cv cath inf & sup app
Long description: Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance
Code added date: 20211001.
Code effective date: 20240101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9781 - Arthro/shoul surg; w/spacer
Long description: 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
Code added date: 20220401.
Code effective date: 20220401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9782 - Blind myocar trpl bon marrow
Long description: Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
Code added date: 20220401.
Code effective date: 20220401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9783 - Blind cor sinus reducer impl
Long description: Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catherization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study
Code added date: 20220401.
Code effective date: 20220401.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9784 - Endo sleeve gastro w/tube
Long description: Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
Code added date: 20230701.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9785 - Endo outlet restrict w/tube
Long description: Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
Code added date: 20230701.
Code effective date: 20230701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
C9786 - Echo cad for hf preserved ef
Long description: Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction, including interpretation and report
Code added date: 20230701.
Code effective date: 20250101.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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C9787 - Gastric ep mapg simult pt sx
Long description: Gastric electrophysiology mapping with simultaneous patient symptom profiling
Code added date: 20230701.
Code effective date: 20240701.
Pricing Indicator Code(s):
53
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF