C9754 HCPCS - CREATION OF ARTERIOVENOUS FISTULA, PERCUTANEOUS; DIRECT, ANY SITE, INCLUDING ALL IMAGING AND RADIOLOGIC SUPERVISION AND INTERPRETATION, WHEN PERFORMED AND SECONDARY PROCEDURES TO REDIRECT BLOOD FLOW (E.G., TRANSLUMINAL BALLOON ANGIOPLASTY, COIL EMBOLIZATION, WHEN PERFORMED)

Code Information

HCPCS Code: C9754
Sequence Number: 0010
Short Description: Perc av fistula, direct
Long Description: Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
Date Added: 1/1/2019
Action Code: N - No maintenance for this code
Action Effective Date: 7/1/2020
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	C9754
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	Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
HCPCS Short Description	Perc av fistula, direct
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 Berenson-Eggers Type Of Service Code	P5E - Ambulatory procedures - other
HCPCS Type Of Service Code 1	2 - Surgery
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	1/1/2019
HCPCS Action Effective Date	7/1/2020
HCPCS Termination Date	6/30/2020
HCPCS Action Code	N - No maintenance for this code