C9796 HCPCS - REPAIR OF ENTEROCUTANEOUS FISTULA SMALL INTESTINE OR COLON (EXCLUDING ANORECTAL FISTULA) WITH PLUG (E.G., PORCINE SMALL INTESTINE SUBMUCOSA [SIS])

Code Information

  • HCPCS Code: C9796
  • Sequence Number: 0010
  • Short Description: Rpr intst excl anrect fist
  • Long Description: Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
  • Date Added: 1/1/2024
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2024
  • Classification: Temporary Hospital Outpatient Prospective Payment System
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: P6C - Minor procedures - other (Medicare fee schedule)
  • 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: 1/1/2024

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C9796
      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 Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
      HCPCS Short Description Rpr intst excl anrect fist
      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 1/1/2024
      HCPCS Berenson-Eggers Type Of Service Code P6C - Minor procedures - other (Medicare fee schedule)
      HCPCS Type Of Service Code 1 2 - Surgery
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/2024
      HCPCS Action Effective Date 1/1/2024
      HCPCS Action Code N - No maintenance for this code

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