HCPCS C9765 Code. Revasc intra lithotrip-stent

HCPCS Code: C9765
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
Short Description: Revasc intra lithotrip-stent

Original information is taken from C9765 page

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

Statute Number: 1833(t)

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

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

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