C Codes

C1204

Technetium tc 99m tilmanocept, diagnostic, up to 0.5 millicuries

C1300

Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval

C1713

Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)

C1714

Catheter, transluminal atherectomy, directional

C1715

Brachytherapy needle

C1716

Brachytherapy source, non-stranded, gold-198, per source

C1717

Brachytherapy source, non-stranded, high dose rate iridium-192, per source

C1719

Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source

C1721

Cardioverter-defibrillator, dual chamber (implantable)

C1722

Cardioverter-defibrillator, single chamber (implantable)

C1724

Catheter, transluminal atherectomy, rotational

C1725

Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)

C1726

Catheter, balloon dilatation, non-vascular

C1727

Catheter, balloon tissue dissector, non-vascular (insertable)

C1728

Catheter, brachytherapy seed administration

C1729

Catheter, drainage

C1730

Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)

C1731

Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes)

C1732

Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping

C1733

Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip

C1749

Endoscope, retrograde imaging/illumination colonoscope device (implantable)

C1750

Catheter, hemodialysis/peritoneal, long-term

C1751

Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)

C1752

Catheter, hemodialysis/peritoneal, short-term

C1753

Catheter, intravascular ultrasound

C1754

Catheter, intradiscal

C1755

Catheter, intraspinal

C1756

Catheter, pacing, transesophageal

C1757

Catheter, thrombectomy/embolectomy

C1758

Catheter, ureteral

C1759

Catheter, intracardiac echocardiography

C1760

Closure device, vascular (implantable/insertable)

C1762

Connective tissue, human (includes fascia lata)

C1763

Connective tissue, non-human (includes synthetic)

C1764

Event recorder, cardiac (implantable)

C1765

Adhesion barrier

C1766

Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away

C1767

Generator, neurostimulator (implantable), non-rechargeable

C1768

Graft, vascular

C1769

Guide wire

C1770

Imaging coil, magnetic resonance (insertable)

C1771

Repair device, urinary, incontinence, with sling graft

C1772

Infusion pump, programmable (implantable)

C1773

Retrieval device, insertable (used to retrieve fractured medical devices)

C1776

Joint device (implantable)

C1777

Lead, cardioverter-defibrillator, endocardial single coil (implantable)

C1778

Lead, neurostimulator (implantable)

C1779

Lead, pacemaker, transvenous vdd single pass

C1780

Lens, intraocular (new technology)

C1781

Mesh (implantable)

C1782

Morcellator

C1783

Ocular implant, aqueous drainage assist device

C1784

Ocular device, intraoperative, detached retina

C1785

Pacemaker, dual chamber, rate-responsive (implantable)

C1786

Pacemaker, single chamber, rate-responsive (implantable)

C1787

Patient programmer, neurostimulator

C1788

Port, indwelling (implantable)

C1789

Prosthesis, breast (implantable)

C1813

Prosthesis, penile, inflatable

C1814

Retinal tamponade device, silicone oil

C1815

Prosthesis, urinary sphincter (implantable)

C1816

Receiver and/or transmitter, neurostimulator (implantable)

C1817

Septal defect implant system, intracardiac

C1818

Integrated keratoprosthesis

C1819

Surgical tissue localization and excision device (implantable)

C1820

Generator, neurostimulator (implantable), with rechargeable battery and charging system

C1821

Interspinous process distraction device (implantable)

C1822

Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system

C1830

Powered bone marrow biopsy needle

C1840

Lens, intraocular (telescopic)

C1841

Retinal prosthesis, includes all internal and external components

C1874

Stent, coated/covered, with delivery system

C1875

Stent, coated/covered, without delivery system

C1876

Stent, non-coated/non-covered, with delivery system

C1877

Stent, non-coated/non-covered, without delivery system

C1878

Material for vocal cord medialization, synthetic (implantable)

C1879

Tissue marker (implantable)

C1880

Vena cava filter

C1881

Dialysis access system (implantable)

C1882

Cardioverter-defibrillator, other than single or dual chamber (implantable)

C1883

Adapter/extension, pacing lead or neurostimulator lead (implantable)

C1884

Embolization protective system

C1885

Catheter, transluminal angioplasty, laser

C1886

Catheter, extravascular tissue ablation, any modality (insertable)

C1887

Catheter, guiding (may include infusion/perfusion capability)

C1888

Catheter, ablation, non-cardiac, endovascular (implantable)

C1889

Implantable/insertable device for device intensive procedure, not otherwise classified

C1891

Infusion pump, non-programmable, permanent (implantable)

C1892

Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away

C1893

Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away

C1894

Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser

C1895

Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

C1896

Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)

C1897

Lead, neurostimulator test kit (implantable)

C1898

Lead, pacemaker, other than transvenous vdd single pass

C1899

Lead, pacemaker/cardioverter-defibrillator combination (implantable)

C1900

Lead, left ventricular coronary venous system

C2613

Lung biopsy plug with delivery system

C2614

Probe, percutaneous lumbar discectomy

C2615

Sealant, pulmonary, liquid

C2616

Brachytherapy source, non-stranded, yttrium-90, per source

C2617

Stent, non-coronary, temporary, without delivery system

C2618

Probe/needle, cryoablation

C2619

Pacemaker, dual chamber, non rate-responsive (implantable)

C2620

Pacemaker, single chamber, non rate-responsive (implantable)

C2621

Pacemaker, other than single or dual chamber (implantable)

C2622

Prosthesis, penile, non-inflatable

C2623

Catheter, transluminal angioplasty, drug-coated, non-laser

C2624

Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components

C2625

Stent, non-coronary, temporary, with delivery system

C2626

Infusion pump, non-programmable, temporary (implantable)

C2627

Catheter, suprapubic/cystoscopic

C2628

Catheter, occlusion

C2629

Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser

C2630

Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, cool-tip

C2631

Repair device, urinary, incontinence, without sling graft

C2634

Brachytherapy source, non-stranded, high activity, iodine-125, greater than 1.01 mci (nist), per source

C2635

Brachytherapy source, non-stranded, high activity, palladium-103, greater than 2.2 mci (nist), per source

C2636

Brachytherapy linear source, non-stranded, palladium-103, per 1 mm

C2637

Brachytherapy source, non-stranded, ytterbium-169, per source

C2638

Brachytherapy source, stranded, iodine-125, per source

C2639

Brachytherapy source, non-stranded, iodine-125, per source

C2640

Brachytherapy source, stranded, palladium-103, per source

C2641

Brachytherapy source, non-stranded, palladium-103, per source

C2642

Brachytherapy source, stranded, cesium-131, per source

C2643

Brachytherapy source, non-stranded, cesium-131, per source

C2644

Brachytherapy source, cesium-131 chloride solution, per millicurie

C2645

Brachytherapy planar source, palladium-103, per square millimeter

C2698

Brachytherapy source, stranded, not otherwise specified, per source

C2699

Brachytherapy source, non-stranded, not otherwise specified, per source

C5271

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

C5272

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

C5273

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

C5274

Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)

C5275

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area

C5276

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)

C5277

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children

C5278

Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)

C8900

Magnetic resonance angiography with contrast, abdomen

C8901

Magnetic resonance angiography without contrast, abdomen

C8902

Magnetic resonance angiography without contrast followed by with contrast, abdomen

C8903

Magnetic resonance imaging with contrast, breast; unilateral

C8904

Magnetic resonance imaging without contrast, breast; unilateral

C8905

Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral

C8906

Magnetic resonance imaging with contrast, breast; bilateral

C8907

Magnetic resonance imaging without contrast, breast; bilateral

C8908

Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral

C8909

Magnetic resonance angiography with contrast, chest (excluding myocardium)

C8910

Magnetic resonance angiography without contrast, chest (excluding myocardium)

C8911

Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)

C8912

Magnetic resonance angiography with contrast, lower extremity

C8913

Magnetic resonance angiography without contrast, lower extremity

C8914

Magnetic resonance angiography without contrast followed by with contrast, lower extremity

C8918

Magnetic resonance angiography with contrast, pelvis

C8919

Magnetic resonance angiography without contrast, pelvis

C8920

Magnetic resonance angiography without contrast followed by with contrast, pelvis

C8921

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete

C8922

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study

C8923

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, without spectral or color doppler echocardiography

C8924

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, follow-up or limited study

C8925

Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report

C8926

Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report

C8927

Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis

C8928

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report

C8929

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography

C8930

Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision

C8931

Magnetic resonance angiography with contrast, spinal canal and contents

C8932

Magnetic resonance angiography without contrast, spinal canal and contents

C8933

Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents

C8934

Magnetic resonance angiography with contrast, upper extremity

C8935

Magnetic resonance angiography without contrast, upper extremity

C8936

Magnetic resonance angiography without contrast followed by with contrast, upper extremity

C8957

Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump

C9021

Injection, obinutuzumab, 10 mg

C9022

Injection, elosulfase alfa, 1mg

C9023

Injection, testosterone undecanoate, 1 mg

C9025

Injection, ramucirumab, 5 mg

C9026

Injection, vedolizumab, 1 mg

C9027

Injection, pembrolizumab, 1 mg

C9113

Injection, pantoprazole sodium, per vial

C9121

Injection, argatroban, per 5 mg

C9130

Injection, immune globulin (bivigam), 500 mg

C9131

Injection, ado-trastuzumab emtansine, 1 mg

C9132

Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity

C9133

Factor ix (antihemophilic factor, recombinant), rixubis, per i.u.

C9134

Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u.

C9135

Factor ix (antihemophilic factor, recombinant), alprolix, per i.u.

C9136

Injection, factor viii, fc fusion protein, (recombinant), per i.u.

C9137

Injection, factor viii (antihemophilic factor, recombinant) pegylated, 1 i.u.

C9138

Injection, factor viii (antihemophilic factor, recombinant) (nuwiq), 1 i.u.

C9139

Injection, factor ix, albumin fusion protein (recombinant), idelvion, 1 i.u.

C9140

Injection, factor viii (antihemophilic factor, recombinant) (afstyla), 1 i.u.

C9248

Injection, clevidipine butyrate, 1 mg

C9250

Human plasma fibrin sealant, vapor-heated, solvent-detergent (artiss), 2 ml

C9254

Injection, lacosamide, 1 mg

C9257

Injection, bevacizumab, 0.25 mg

C9275

Injection, hexaminolevulinate hydrochloride, 100 mg, per study dose

C9285

Lidocaine 70 mg/tetracaine 70 mg, per patch

C9290

Injection, bupivacaine liposome, 1 mg

C9292

Injection, pertuzumab, 10 mg

C9293

Injection, glucarpidase, 10 units

C9294

Injection, taliglucerase alfa, 10 units

C9295

Injection, carfilzomib, 1 mg

C9296

Injection, ziv-aflibercept, 1 mg

C9297

Injection, omacetaxine mepesuccinate, 0.01 mg

C9298

Injection, ocriplasmin, 0.125 mg

C9349

Puraply, and puraply antimicrobial, any type, per square centimeter

C9352

Microporous collagen implantable tube (neuragen nerve guide), per centimeter length

C9353

Microporous collagen implantable slit tube (neurawrap nerve protector), per centimeter length

C9354

Acellular pericardial tissue matrix of non-human origin (veritas), per square centimeter

C9355

Collagen nerve cuff (neuromatrix), per 0.5 centimeter length

C9356

Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter

C9358

Dermal substitute, native, non-denatured collagen, fetal bovine origin (surgimend collagen matrix), per 0.5 square centimeters

C9359

Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold putty, integra os osteoconductive scaffold putty), per 0.5 cc

C9360

Dermal substitute, native, non-denatured collagen, neonatal bovine origin (surgimend collagen matrix), per 0.5 square centimeters

C9361

Collagen matrix nerve wrap (neuromend collagen nerve wrap), per 0.5 centimeter length

C9362

Porous purified collagen matrix bone void filler (integra mozaik osteoconductive scaffold strip), per 0.5 cc

C9363

Skin substitute, integra meshed bilayer wound matrix, per square centimeter

C9364

Porcine implant, permacol, per square centimeter

C9399

Unclassified drugs or biologicals

C9441

Injection, ferric carboxymaltose, 1 mg

C9442

Injection, belinostat, 10 mg

C9443

Injection, dalbavancin, 10 mg

C9444

Injection, oritavancin, 10 mg

C9445

Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units

C9446

Injection, tedizolid phosphate, 1 mg

C9447

Injection, phenylephrine and ketorolac, 4 ml vial

C9448

Netupitant 300 mg and palonosetron 0.5 mg, oral

C9449

Injection, blinatumomab, 1 mcg

C9450

Injection, fluocinolone acetonide intravitreal implant, 0.01 mg

C9451

Injection, peramivir, 1 mg

C9452

Injection, ceftolozane 50 mg and tazobactam 25 mg

C9453

Injection, nivolumab, 1 mg

C9454

Injection, pasireotide long acting, 1 mg

C9455

Injection, siltuximab, 10 mg

C9456

Injection, isavuconazonium sulfate, 1 mg

C9457

Injection, sulfur hexafluoride lipid microsphere, per ml

C9458

Florbetaben f18, diagnostic, per study dose, up to 8.1 millicuries

C9459

Flutemetamol f18, diagnostic, per study dose, up to 5 millicuries

C9460

Injection, cangrelor, 1 mg

C9461

Choline c 11, diagnostic, per study dose

C9470

Injection, aripiprazole lauroxil, 1 mg

C9471

Hyaluronan or derivative, hymovis, for intra-articular injection, 1 mg

C9472

Injection, talimogene laherparepvec, 1 million plaque forming units (pfu)

C9473

Injection, mepolizumab, 1 mg

C9474

Injection, irinotecan liposome, 1 mg

C9475

Injection, necitumumab, 1 mg

C9476

Injection, daratumumab, 10 mg

C9477

Injection, elotuzumab, 1 mg

C9478

Injection, sebelipase alfa, 1 mg

C9479

Instillation, ciprofloxacin otic suspension, 6 mg

C9480

Injection, trabectedin, 0.1 mg

C9481

Injection, reslizumab, 1 mg

C9482

Injection, sotalol hydrochloride, 1 mg

C9483

Injection, atezolizumab, 10 mg

C9497

Loxapine, inhalation powder, 10 mg

C9600

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

C9601

Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)

C9602

Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch

C9603

Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)

C9604

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

C9605

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)

C9606

Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel

C9607

Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel

C9608

Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)

C9724

Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy

C9725

Placement of endorectal intracavitary applicator for high intensity brachytherapy

C9726

Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure

C9727

Insertion of implants into the soft palate; minimum of three implants

C9728

Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple

C9733

Non-ophthalmic fluorescent vascular angiography

C9734

Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance

C9735

Anoscopy; with directed submucosal injection(s), any substance

C9736

Laparoscopy, surgical, radiofrequency ablations of uterine fibroid(s), including intraoperative guidance and monitoring, when performed

C9737

Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)

C9739

Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants

C9740

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants

C9741

Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report

C9742

Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed

C9743

Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)

C9744

Ultrasound, abdominal, with contrast

C9800

Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies

C9898

Radiolabeled product provided during a hospital inpatient stay

C9899

Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage