Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

C9725 - C9899  Therapeutic Services and Supplies

C9725
Placement of endorectal intracavitary applicator for high intensity brachytherapy
shortPlace endorectal app
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalAnatomic Consideration
OPH1.03 Date of Service Edit: ClinicalAnatomic Consideration
C9726
Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure
shortRxt breast appl place/remov
MUE
LocationValueAjudication IndicatorRationale
PRA2.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH2.03 Date of Service Edit: ClinicalAnatomic Consideration
C9727
Insertion of implants into the soft palate; minimum of three implants
shortInsert palate implants
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9728
Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple
shortPlace device/marker, non pro
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9733
Non-ophthalmic fluorescent vascular angiography
shortNon-ophthalmic fva
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C9734
Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance
shortU/s trtmt, not leiomyomata
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction
OPH1.03 Date of Service Edit: ClinicalCode Descriptor / CPT Instruction
C9735
Anoscopy; with directed submucosal injection(s), any substance
shortAnoscopy, submucosal inj
C9737
Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)
shortLap esoph augmentation
C9738
Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
shortBlue light cysto imag agent
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C9739
Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
shortCystoscopy prostatic imp 1-3
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9740
Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
shortCysto impl 4 or more
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9741
Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report
shortImpl pressure sensor w/angio
C9742
Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed
shortLaryngoscopy with injection
C9743
Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)
shortBulking/spacer material impl
C9744
Ultrasound, abdominal, with contrast
shortAbd us w/contrast
C9745
Nasal endoscopy, surgical; balloon dilation of eustachian tube
shortNasal endo eustachian tube
MUE
LocationValueAjudication IndicatorRationale
PRA2.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
C9746
Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed
shortTrans imp balloon cont
C9747
Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance
shortAblation, hifu, prostate
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyAnatomic Consideration
OPH1.02 Date of Service Edit: PolicyAnatomic Consideration
C9748
Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy
shortProstatic rf water vapor tx
C9749
Repair of nasal vestibular lateral wall stenosis with implant(s)
shortRepair nasal stenosis w/imp
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCMS Policy
OPH1.02 Date of Service Edit: PolicyCMS Policy
C9750
Insertion or removal and replacement of intracardiac ischemia monitoring system including imaging supervision and interpretation and peri-operative interrogation and programming; complete system (includes device and electrode)
shortIns/rem-replace compl iims
C9751
Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)
shortMicrowave bronch, 3d, ebus
MUE
LocationValueAjudication IndicatorRationale
PRA1.03 Date of Service Edit: ClinicalNature of Service/Procedure
OPH1.03 Date of Service Edit: ClinicalNature of Service/Procedure
C9752
Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum
shortIntraosseous des lumb/sacrum
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9753
Destruction of intraosseous basivertebral nerve, each additional vertebral body, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum (list separately in addition to code for primary procedure)
shortIntraosseous destruct add'l
MUE
LocationValueAjudication IndicatorRationale
PRA3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
OPH3.03 Date of Service Edit: ClinicalClinical: CMS Workgroup
C9754
Creation of arteriovenous fistula, percutaneous; direct, any site, including all imaging and radiologic supervision and interpretation, when performed and secondary procedures to redirect blood flow (e.g., transluminal balloon angioplasty, coil embolization, when performed)
shortPerc av fistula, direct
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9755
Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed
shortRf magnetic-guide av fistula
MUE
LocationValueAjudication IndicatorRationale
PRA1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
OPH1.02 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
C9756
Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure)
shortFluorescence lymph map w/icg
C9757
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar
shortSpine/lumbar disk surgery
C9758
Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control, including right heart catheterization, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
shortInteratrial shunt ide
C9800
Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
shortDermal filler inj px/suppl
C9898
Radiolabeled product provided during a hospital inpatient stay
shortInpnt stay radiolabeled item
MUE
LocationValueAjudication IndicatorRationale
OPH1.03 Date of Service Edit: ClinicalClinical: Data
C9899
Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
shortInpt implant pros dev,no cov