HCPCS C9764 Code. Revasc intravasc lithotripsy


Table of content for "Revasc intravasc lithotripsy" (HCPCS C9764)

General information on the “C9764” code

HCPCS Code: C9764
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
Short Description: Revasc intravasc lithotripsy

Original information is taken from C9764 page

Pricing indicators

Pricing Indicator Code 1: 53 – Statute
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information


Statute Number: 1833(t)

Coverage

Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20200701

Type of service


Berenson-Eggers Type of Service (BETOS): P2F – Major procedure, cardiovascular-Other
Type Of Service 1: 2 – Surgery

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20200701
Code Effective Date: 20200701
Action Code: N – No maintenance for this code