C9765

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Short Description

Revasc intra lithotrip-stent

HCPCS Coverage Code

D = Special coverage instructions apply

HCPCS Action Code

N = No maintenance for this code

HCPCS Action Effective Date

July 01, 2020

HCPCS Code Added Date

July 01, 2020

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 ASC Payment Group Code

HCPCS ASC Payment Group Effective Date

July 01, 2020

HCPCS Type Of Service Code

2 = Surgery

C9765

Short Description

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 ASC Payment Group Code

HCPCS ASC Payment Group Effective Date

HCPCS Type Of Service Code

HCPCS Anesthesia Base Unit Quantity