HCPCS C9804 Code. Pump elastomc non-opioid dev


Table of content for "Pump elastomc non-opioid dev" (HCPCS C9804)

General information on the “C9804” code

HCPCS Code: C9804
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)
Short Description: Pump elastomc non-opioid dev

Original information is taken from C9804 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: 20250101

Type of service


Berenson-Eggers Type of Service (BETOS): D1A – Medical/surgical supplies
Type Of Service 1: 9 – Other medical items or services

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20250101
Code Effective Date: 20250101
Action Code: A – Add procedure or modifier code