C9604

Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel

Short Description

Perc d-e cor revasc t cabg s

Procedure Note

0107 = PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002(HOPPS), PAGE 52105.

HCPCS Coverage Code

D = Special coverage instructions apply

HCPCS Action Code

N = No maintenance for this code

HCPCS Action Effective Date

January 01, 2013

HCPCS Code Added Date

January 01, 2013

HCPCS Pricing Indicator Code

53 = Statute

HCPCS Multiple Pricing Indicator Code

A = Not applicable as HCPCS priced under one methodology

HCPCS Statute Number

1833(t)

HCPCS Type Of Service Code

2 = Surgery

C9604

Short Description

Procedure Note

HCPCS Coverage Code

HCPCS Action Code

HCPCS Action Effective Date

HCPCS Code Added Date

HCPCS Pricing Indicator Code

HCPCS Multiple Pricing Indicator Code

HCPCS Statute Number

HCPCS Type Of Service Code

HCPCS Anesthesia Base Unit Quantity