Showing codes C9788 (Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination) — CK (At least 40 percent but less than 60 percent impaired, limited or restricted)

C9788 - Uni breas optoacoustic imag
Long description: Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination
Code added date: 20231001.
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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C9789 - Instill pharm renal pelvis
Long description: Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
Code added date: 20231001.
Code effective date: 20231001.
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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C9790 - Kidney histotripsy w/image
Long description: Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
Code added date: 20231001.
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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C9791 - Mri hyperpolarized xenon129
Long description: Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
Code added date: 20231001.
Code effective date: 20231001.
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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C9792 - Blind/nonblind trans atrial
Long description: Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
Code added date: 20231001.
Code effective date: 20231001.
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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C9793 - Pre-plan 3d model w/ccta
Long description: 3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography with report
Code added date: 20240101.
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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C9794 - Complex simulation w/pet-ct
Long description: Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)
Code added date: 20240101.
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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C9795 - Sbrt w/positron emission del
Long description: Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions
Code added date: 20240101.
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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C9796 - Rpr intst excl anrect fist
Long description: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
Code added date: 20240101.
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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C9797 - Vasc emb/occ w/prs cath
Long description: 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
Code added date: 20240101.
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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C9800 - Dermal filler inj px/suppl
Long description: Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
Code added date: 20100701.
Code effective date: 20170101.
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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C9803 - Hopd covid-19 spec collect
Long description: Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
Code added date: 20200301.
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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C9804 - Pump elastomc non-opioid dev
Long description: 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)
Code added date: 20250101.
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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C9806 - Pump perist non-opioid dev
Long description: 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)
Code added date: 20250101.
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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C9807 - Nerve stim non-opioid dev
Long description: Nerve stimulator, percutaneous, peripheral (e.g., sprint peripheral nerve stimulation system), including electrode 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)
Code added date: 20250101.
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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C9808 - Cryo probe non-opioid dev
Long description: Nerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe 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)
Code added date: 20250101.
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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C9809 - Cryo needle non-opioid dev
Long description: Cryoablation needle (e.g., iovera system), including needle/tip 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)
Code added date: 20250101.
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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C9898 - Inpnt stay radiolabeled item
Long description: Radiolabeled product provided during a hospital inpatient stay
Code added date: 20080101.
Code effective date: 20080101.
Pricing Indicator Code(s): 00 ; (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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C9899 - Inpt implant pros dev,no cov
Long description: Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
Code added date: 20090101.
Code effective date: 20090101.
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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C9901 - Endo defect closure gi tract
Long description: Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
Code added date: 20240701.
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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CA - Procedure payable inpatient
Long description: Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission
Code added date: 20030101.
Code effective date: 20030101.
Coverage Code: C (A code denoting Medicare coverage status).
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CB - Esrd bene part a snf-sep pay
Long description: Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable
Code added date: 20030401.
Code effective date: 20040101.
Coverage Code: C (A code denoting Medicare coverage status).
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CC - Procedure code change
Long description: Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
Code added date: 19900101.
Code effective date: 19970101.
Coverage Code: C (A code denoting Medicare coverage status).
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CD - Amcc test for esrd or mcp md
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CE - Med neces amcc tst sep reimb
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CF - Amcc tst not composite rate
Long description: Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable
Code added date: 20040101.
Code effective date: 20040101.
Coverage Code: D (A code denoting Medicare coverage status).
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CG - Policy criteria applied
Long description: Policy criteria applied
Code added date: 20080701.
Code effective date: 20080701.
Coverage Code: C (A code denoting Medicare coverage status).
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CH - 0 percent impaired, ltd, res
Long description: 0 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CI - 1 to <20 percent impaired
Long description: At least 1 percent but less than 20 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CJ - 20 to <40 percent impaired
Long description: At least 20 percent but less than 40 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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CK - 40 to <60 percent impaired
Long description: At least 40 percent but less than 60 percent impaired, limited or restricted
Code added date: 20130101.
Code effective date: 20130101.
Coverage Code: D (A code denoting Medicare coverage status).
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