C9724 HCPCS - ENDOSCOPIC FULL-THICKNESS PLICATION OF THE STOMACH USING ENDOSCOPIC PLICATION SYSTEM (EPS); INCLUDES ENDOSCOPY

Code Information

HCPCS Code: C9724
Sequence Number: 0010
Short Description: Eps stomach plic
Long Description: Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
Date Added: 4/1/2005
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2016
Classification: Temporary Hospital Outpatient Prospective Payment System
Coding System: HCPCS

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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C9724
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	Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
HCPCS Short Description	Eps stomach plic
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 Cross Reference Code 1	43210
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code	P8I - Endoscopy - other
HCPCS Type Of Service Code 1	2 - Surgery
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	4/1/2005
HCPCS Action Effective Date	1/1/2016
HCPCS Termination Date	12/31/2015
HCPCS Action Code	N - No maintenance for this code