C9764 HCPCS - REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, LOWER EXTREMITY ARTERY(IES), EXCEPT TIBIAL/PERONEAL; WITH INTRAVASCULAR LITHOTRIPSY, INCLUDES ANGIOPLASTY WITHIN THE SAME VESSEL(S), WHEN PERFORMED

Code Information

  • HCPCS Code: C9764
  • Sequence Number: 0010
  • Short Description: Revasc intravasc lithotripsy
  • Long Description: Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
  • Date Added: 7/1/2020
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 7/1/2020
  • Classification: Temporary Hospital Outpatient Prospective Payment System
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: P2F - Major procedure, cardiovascular-Other
  • Type Of Service Code:
    • 2 - Surgery

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: 7/1/2020

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C9764
      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 Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
      HCPCS Short Description Revasc intravasc lithotripsy
      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 7/1/2020
      HCPCS Berenson-Eggers Type Of Service Code P2F - Major procedure, cardiovascular-Other
      HCPCS Type Of Service Code 1 2 - Surgery
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 7/1/2020
      HCPCS Action Effective Date 7/1/2020
      HCPCS Action Code N - No maintenance for this code

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