C9778 HCPCS - COLPOPEXY, VAGINAL; MINIMALLY INVASIVE EXTRA-PERITONEAL APPROACH (SACROSPINOUS)

Code Information

HCPCS Code: C9778
Sequence Number: 0010
Short Description: Colpopexy, min/inv, ex-perit
Long Description: Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
Date Added: 7/1/2021
Action Code: N - No maintenance for this code
Action Effective Date: 7/1/2021
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
ASC Payment Group Effective Date: 7/1/2021

Field Name	Field Value
Healthcare Common Procedure Coding System Code	C9778
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	Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
HCPCS Short Description	Colpopexy, min/inv, ex-perit
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	P5E - Ambulatory procedures - other
HCPCS Type Of Service Code 1	2 - Surgery
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