C1761 HCPCS - CATHETER, TRANSLUMINAL INTRAVASCULAR LITHOTRIPSY, CORONARY

Code 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: 7/1/2021

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C1761
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	Catheter, transluminal intravascular lithotripsy, coronary
HCPCS Short Description	Cath, trans intra litho/coro
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	7/1/2021
HCPCS Berenson-Eggers Type Of Service Code	D1A - Medical/surgical supplies
HCPCS Type Of Service Code 1	9 - Other medical items or services
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	7/1/2021
HCPCS Action Effective Date	7/1/2021
HCPCS Action Code	N - No maintenance for this code