C1604 HCPCS - GRAFT, TRANSMURAL TRANSVENOUS ARTERIAL BYPASS (IMPLANTABLE), WITH ALL DELIVERY SYSTEM COMPONENTS

Code Information

  • HCPCS Code: C1604
  • Sequence Number: 0010
  • Short Description: Grft, trnsmurl/trnsvens byps
  • Long Description: Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
  • Date Added: 1/1/2024
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2024
  • Classification: Temporary Hospital Outpatient Prospective Payment System
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: D1A - Medical/surgical supplies
  • Type Of Service Code:
    • 9 - Other medical items or services
    • S - Surgical dressings or other medical supplies (eff 04/95)
    • F - Ambulatory surgical center (facility usage for surgical services)

Billing Information

  • Pricing Indicator Code:
    • 53 - Statute
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: D - Special coverage instructions apply
      • ASC Payment Group Effective Date: 1/1/2024

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C1604
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
      HCPCS Short Description Grft, trnsmurl/trnsvens byps
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Statute Number 1833(T)
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS ASC Payment Group Code YY
      HCPCS ASC Payment Group Effective Date 1/1/2024
      HCPCS Berenson-Eggers Type Of Service Code D1A - Medical/surgical supplies
      HCPCS Type Of Service Code 1 9 - Other medical items or services
      HCPCS Type Of Service Code 2 S - Surgical dressings or other medical supplies (eff 04/95)
      HCPCS Type Of Service Code 3 F - Ambulatory surgical center (facility usage for surgical services)
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2024
      HCPCS Action Effective Date 1/1/2024
      HCPCS Action Code N - No maintenance for this code

      Download Record

      Download this CLIA record record in Text format: Export

      Download this CLIA record record in Excel (CSV) format: Export

      Download this CLIA record record in XML format: Export

      This page was last updated on: 7/1/2024