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Resolved C codes

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2021 HCPCS codes

C9764
for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed or just “Revasc intravasc lithotripsy” for short, used in Surgery.

C9765 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed.

C9766 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and atherectomy, includes angioplasty within the same vessel(s), when performed.

C9767 is a valid 2021 HCPCS code for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed or just “Revasc lithotrip-stent-ather” for short, used in Surgery.

Final-Reimbursement-Asterisk-December-2020_For-Website-1024x187.png


The Centers for Medicare & Medicaid Services (CMS) has finalized new codes for IVL procedures performed in peripheral arteries in both the hospital outpatient and inpatient settings. The new Healthcare Common Procedure Coding System (HCPCS) outpatient and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) inpatient codes will go into effect on January 1, 2021 and October 1, 2020, respectively.

Hospital Outpatient

In the calendar year 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule issued on December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) has created four new HCPCS codes (C9772-C9775) for IVL procedures performed in the tibial and peroneal (a.k.a. below-the-knee or BTK) arteries. In addition, CMS has amended the descriptions of the initial HCPCS codes (C9764-C9767) created in July 2020 to report IVL procedures performed in lower extremity arteries, except tibial and peroneal. These changes are effective on January 1, 2021.

New HCPCS Codes Describing Peripheral Intravascular Lithotripsy
For the July 2020 Update, CMS is establishing four new codes to describe the technology associated with peripheral intravascular lithotripsy. CMS is establishing HCPCS codes C9764, C9765, C9766, and C9767 to describe procedures utilizing peripheral intravascular lithotripsy
catheter. Table 25 lists the long descriptors, status indicators, and APC assignment for all four codes. For more information on OPPS status indicator “J1”, refer to OPPS Addendum D1 of the CY 2020 OPPS/ASC final rule for the latest definition. These codes, along with their short
descriptors, status indicator, and payment rates are also listed in the July 1, 2020, OPPS Addendum B.

Screen Shot 2021-02-03 at 6.50.34 AM.webp



 
Did you have a particular question on these codes?

2021 HCPCS codes

C9764
for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed or just “Revasc intravasc lithotripsy” for short, used in Surgery.

C9765 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed.

C9766 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and atherectomy, includes angioplasty within the same vessel(s), when performed.

C9767 is a valid 2021 HCPCS code for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed or just “Revasc lithotrip-stent-ather” for short, used in Surgery.

Final-Reimbursement-Asterisk-December-2020_For-Website-1024x187.png


The Centers for Medicare & Medicaid Services (CMS) has finalized new codes for IVL procedures performed in peripheral arteries in both the hospital outpatient and inpatient settings. The new Healthcare Common Procedure Coding System (HCPCS) outpatient and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) inpatient codes will go into effect on January 1, 2021 and October 1, 2020, respectively.

Hospital Outpatient

In the calendar year 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule issued on December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) has created four new HCPCS codes (C9772-C9775) for IVL procedures performed in the tibial and peroneal (a.k.a. below-the-knee or BTK) arteries. In addition, CMS has amended the descriptions of the initial HCPCS codes (C9764-C9767) created in July 2020 to report IVL procedures performed in lower extremity arteries, except tibial and peroneal. These changes are effective on January 1, 2021.

New HCPCS Codes Describing Peripheral Intravascular Lithotripsy
For the July 2020 Update, CMS is establishing four new codes to describe the technology associated with peripheral intravascular lithotripsy. CMS is establishing HCPCS codes C9764, C9765, C9766, and C9767 to describe procedures utilizing peripheral intravascular lithotripsy
catheter. Table 25 lists the long descriptors, status indicators, and APC assignment for all four codes. For more information on OPPS status indicator “J1”, refer to OPPS Addendum D1 of the CY 2020 OPPS/ASC final rule for the latest definition. These codes, along with their short
descriptors, status indicator, and payment rates are also listed in the July 1, 2020, OPPS Addendum B.

View attachment 761




Did you have a particular question on these codes?

2021 HCPCS codes

C9764
for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed or just “Revasc intravasc lithotripsy” for short, used in Surgery.

C9765 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed.

C9766 (revascularization, endovascular, open or percutaneous, any vessel(s); with intravascular lithotripsy, and atherectomy, includes angioplasty within the same vessel(s), when performed.

C9767 is a valid 2021 HCPCS code for Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed or just “Revasc lithotrip-stent-ather” for short, used in Surgery.

Final-Reimbursement-Asterisk-December-2020_For-Website-1024x187.png


The Centers for Medicare & Medicaid Services (CMS) has finalized new codes for IVL procedures performed in peripheral arteries in both the hospital outpatient and inpatient settings. The new Healthcare Common Procedure Coding System (HCPCS) outpatient and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) inpatient codes will go into effect on January 1, 2021 and October 1, 2020, respectively.

Hospital Outpatient

In the calendar year 2021 Medicare Hospital Outpatient Prospective Payment System (OPPS) final rule issued on December 2, 2020, the Centers for Medicare & Medicaid Services (CMS) has created four new HCPCS codes (C9772-C9775) for IVL procedures performed in the tibial and peroneal (a.k.a. below-the-knee or BTK) arteries. In addition, CMS has amended the descriptions of the initial HCPCS codes (C9764-C9767) created in July 2020 to report IVL procedures performed in lower extremity arteries, except tibial and peroneal. These changes are effective on January 1, 2021.

New HCPCS Codes Describing Peripheral Intravascular Lithotripsy
For the July 2020 Update, CMS is establishing four new codes to describe the technology associated with peripheral intravascular lithotripsy. CMS is establishing HCPCS codes C9764, C9765, C9766, and C9767 to describe procedures utilizing peripheral intravascular lithotripsy
catheter. Table 25 lists the long descriptors, status indicators, and APC assignment for all four codes. For more information on OPPS status indicator “J1”, refer to OPPS Addendum D1 of the CY 2020 OPPS/ASC final rule for the latest definition. These codes, along with their short
descriptors, status indicator, and payment rates are also listed in the July 1, 2020, OPPS Addendum B.

View attachment 761



Do you know if any payors are paying on these codes?
 
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