C9761 HCPCS - CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY, WITH LITHOTRIPSY, AND URETERAL CATHETERIZATION FOR STEERABLE VACUUM ASPIRATION OF THE KIDNEY, COLLECTING SYSTEM, URETER, BLADDER, AND URETHRA IF APPLICABLE (MUST USE A STEERABLE URETERAL CATHETER)

Code Information

HCPCS Code: C9761
Sequence Number: 0010
Short Description: Cysto, litho, vacuum kidney
Long Description: Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
Date Added: 10/1/2020
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2023
Classification: Temporary Hospital Outpatient Prospective Payment System
Coding System: HCPCS

Berenson-Eggers Type Of Service Code: P5E - Ambulatory procedures - other
Type Of Service Code:
- 2 - Surgery
- F - Ambulatory surgical center (facility usage for surgical services)

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: 10/1/2020

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C9761
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	Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
HCPCS Short Description	Cysto, litho, vacuum kidney
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	10/1/2020
HCPCS Berenson-Eggers Type Of Service Code	P5E - Ambulatory procedures - other
HCPCS Type Of Service Code 1	2 - Surgery
HCPCS Type Of Service Code 2	F - Ambulatory surgical center (facility usage for surgical services)
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Code Added Date	10/1/2020
HCPCS Action Effective Date	1/1/2023
HCPCS Action Code	N - No maintenance for this code