HCPCS C9789 Code. Instill pharm renal pelvis


Table of content for "Instill pharm renal pelvis" (HCPCS C9789)

General information on the “C9789” code

HCPCS Code: C9789
Long Description: Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
Short Description: Instill pharm renal pelvis

Original information is taken from C9789 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: 20231001

Type of service


Berenson-Eggers Type of Service (BETOS): P5E – Ambulatory procedures - other
Type Of Service 1: 2 – Surgery
Type Of Service 2: F – Ambulatory surgical center (facility usage for surgical services)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20231001
Code Effective Date: 20231001
Action Code: N – No maintenance for this code