Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

C1760 - C2615  CMS Hospital Outpatient payment System - Devices

C1760
Closure device, vascular (implantable/insertable)
shortClosure dev, vasc
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1762
Connective tissue, human (includes fascia lata)
shortConn tiss, human(inc fascia)
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1763
Connective tissue, non-human (includes synthetic)
shortConn tiss, non-human
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1764
Event recorder, cardiac (implantable)
shortEvent recorder, cardiac
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1765
Adhesion barrier
shortAdhesion barrier
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1766
Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
shortIntro/sheath,strble,non-peel
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1767
Generator, neurostimulator (implantable), non-rechargeable
shortGenerator, neuro non-recharg
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH2.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1768
Graft, vascular
shortGraft, vascular
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH3.03 Date of Service Edit: ClinicalClinical: Data
C1769
Guide wire
shortGuide wire
MUE
LocationValueAjudication IndicatorRationale
PRA9.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH9.03 Date of Service Edit: ClinicalClinical: Data
C1770
Imaging coil, magnetic resonance (insertable)
shortImaging coil, mr, insertable
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH3.03 Date of Service Edit: ClinicalClinical: Data
C1771
Repair device, urinary, incontinence, with sling graft
shortRep dev, urinary, w/sling
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1772
Infusion pump, programmable (implantable)
shortInfusion pump, programmable
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1773
Retrieval device, insertable (used to retrieve fractured medical devices)
shortRet dev, insertable
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH3.03 Date of Service Edit: ClinicalClinical: Data
C1776
Joint device (implantable)
shortJoint device (implantable)
MUE
LocationValueAjudication IndicatorRationale
PRA10.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH10.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
C1777
Lead, cardioverter-defibrillator, endocardial single coil (implantable)
shortLead, aicd, endo single coil
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalNature of Equipment
C1778
Lead, neurostimulator (implantable)
shortLead, neurostimulator
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH4.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1779
Lead, pacemaker, transvenous vdd single pass
shortLead, pmkr, transvenous vdd
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalNature of Equipment
C1780
Lens, intraocular (new technology)
shortLens, intraocular (new tech)
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1781
Mesh (implantable)
shortMesh (implantable)
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1782
Morcellator
shortMorcellator
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: Data
OPH1.03 Date of Service Edit: ClinicalClinical: Data
C1783
Ocular implant, aqueous drainage assist device
shortOcular imp, aqueous drain de
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1784
Ocular device, intraoperative, detached retina
shortOcular dev, intraop, det ret
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1785
Pacemaker, dual chamber, rate-responsive (implantable)
shortPmkr, dual, rate-resp
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1786
Pacemaker, single chamber, rate-responsive (implantable)
shortPmkr, single, rate-resp
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1787
Patient programmer, neurostimulator
shortPatient progr, neurostim
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1788
Port, indwelling (implantable)
shortPort, indwelling, imp
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1789
Prosthesis, breast (implantable)
shortProsthesis, breast, imp
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1813
Prosthesis, penile, inflatable
shortProsthesis, penile, inflatab
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
C1814
Retinal tamponade device, silicone oil
shortRetinal tamp, silicone oil
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1815
Prosthesis, urinary sphincter (implantable)
shortPros, urinary sph, imp
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
C1816
Receiver and/or transmitter, neurostimulator (implantable)
shortReceiver/transmitter, neuro
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1817
Septal defect implant system, intracardiac
shortSeptal defect imp sys
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: Data
OPH1.03 Date of Service Edit: ClinicalClinical: Data
C1818
Integrated keratoprosthesis
shortIntegrated keratoprosthesis
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1819
Surgical tissue localization and excision device (implantable)
shortTissue localization-excision
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1820
Generator, neurostimulator (implantable), with rechargeable battery and charging system
shortGenerator neuro rechg bat sy
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH2.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1821
Interspinous process distraction device (implantable)
shortInterspinous implant
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1822
Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system
shortGen, neuro, hf, rechg bat
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: Data
OPH1.03 Date of Service Edit: ClinicalClinical: Data
C1823
Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads
shortGen, neuro, trans sen/stim
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1824
Generator, cardiac contractility modulation (implantable)
shortGenerator, ccm, implant
C1830
Powered bone marrow biopsy needle
shortPower bone marrow bx needle
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH2.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1839
Iris prosthesis
shortIris prosthesis
C1840
Lens, intraocular (telescopic)
shortTelescopic intraocular lens
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
C1841
Retinal prosthesis, includes all internal and external components
shortRetinal prosth int/ext comp
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyNature of Service/Procedure
OPH1.02 Date of Service Edit: PolicyNature of Service/Procedure
C1842
Retinal prosthesis, includes all internal and external components; add-on to c1841
shortRetinal prosth, add-on
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyNature of Service/Procedure
OPH0.03 Date of Service Edit: ClinicalCMS Policy
C1874
Stent, coated/covered, with delivery system
shortStent, coated/cov w/del sys
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH5.03 Date of Service Edit: ClinicalClinical: Data
C1875
Stent, coated/covered, without delivery system
shortStent, coated/cov w/o del sy
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1876
Stent, non-coated/non-covered, with delivery system
shortStent, non-coa/non-cov w/del
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH5.03 Date of Service Edit: ClinicalClinical: Data
C1877
Stent, non-coated/non-covered, without delivery system
shortStent, non-coat/cov w/o del
MUE
LocationValueAjudication IndicatorRationale
PRA5.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH5.03 Date of Service Edit: ClinicalClinical: Data
C1878
Material for vocal cord medialization, synthetic (implantable)
shortMatrl for vocal cord
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C1880
Vena cava filter
shortVena cava filter
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1881
Dialysis access system (implantable)
shortDialysis access system
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1882
Cardioverter-defibrillator, other than single or dual chamber (implantable)
shortAicd, other than sing/dual
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1883
Adapter/extension, pacing lead or neurostimulator lead (implantable)
shortAdapt/ext, pacing/neuro lead
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1884
Embolization protective system
shortEmbolization protect syst
MUE
LocationValueAjudication IndicatorRationale
PRA4.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH4.03 Date of Service Edit: ClinicalClinical: Data
C1885
Catheter, transluminal angioplasty, laser
shortCath, translumin angio laser
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1886
Catheter, extravascular tissue ablation, any modality (insertable)
shortCatheter, ablation
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C1887
Catheter, guiding (may include infusion/perfusion capability)
shortCatheter, guiding
MUE
LocationValueAjudication IndicatorRationale
PRA7.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH7.03 Date of Service Edit: ClinicalClinical: Data
C1888
Catheter, ablation, non-cardiac, endovascular (implantable)
shortEndovas non-cardiac abl cath
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1889
Implantable/insertable device, not otherwise classified
shortImplant/insert device, noc
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
C1890
No implantable/insertable device used with device-intensive procedures
shortNo device w/dev-intensive px
C1891
Infusion pump, non-programmable, permanent (implantable)
shortInfusion pump,non-prog, perm
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Equipment
OPH1.03 Date of Service Edit: ClinicalNature of Equipment
C1892
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away
shortIntro/sheath,fixed,peel-away
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH6.03 Date of Service Edit: ClinicalClinical: Data
C1893
Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away
shortIntro/sheath, fixed,non-peel
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH6.03 Date of Service Edit: ClinicalClinical: Data
C1894
Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser
shortIntro/sheath, non-laser
MUE
LocationValueAjudication IndicatorRationale
PRA6.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH6.03 Date of Service Edit: ClinicalClinical: Data
C1895
Lead, cardioverter-defibrillator, endocardial dual coil (implantable)
shortLead, aicd, endo dual coil
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1896
Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)
shortLead, aicd, non sing/dual
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1897
Lead, neurostimulator test kit (implantable)
shortLead, neurostim test kit
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1898
Lead, pacemaker, other than transvenous vdd single pass
shortLead, pmkr, other than trans
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1899
Lead, pacemaker/cardioverter-defibrillator combination (implantable)
shortLead, pmkr/aicd combination
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C1900
Lead, left ventricular coronary venous system
shortLead, coronary venous
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
C1982
Catheter, pressure-generating, one-way valve, intermittently occlusive
shortCath, pressure,valve-occlu
C2596
Probe, image-guided, robotic, waterjet ablation
shortProbe, robotic, water-jet
C2613
Lung biopsy plug with delivery system
shortLung bx plug w/del sys
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data
C2614
Probe, percutaneous lumbar discectomy
shortProbe, perc lumb disc
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH3.03 Date of Service Edit: ClinicalClinical: Data
C2615
Sealant, pulmonary, liquid
shortSealant, pulmonary, liquid
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalClinical: Data