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C-code: Hospital outpatient (OPPS) codes Hospital outpatient (OPPS) codes

622 codes

Billing context

C-codes are temporary codes for hospital outpatient use under the Medicare Outpatient Prospective Payment System, including pass-through drugs and biologicals (many in C9xxx) and devices. They are generally not reported by physician offices; other payers may not recognize them.
C-codes, page 6 of 7
CodeLong descriptorPayment limit (Q4 2026)AddedStatus
C9473Injection, mepolizumab, 1 mg—Apr 1, 2016Ended Dec 31, 2016
C9474Injection, irinotecan liposome, 1 mg—Apr 1, 2016Ended Dec 31, 2016
C9475Injection, necitumumab, 1 mg—Apr 1, 2016Ended Dec 31, 2016
C9476Injection, daratumumab, 10 mg—Jul 1, 2016Ended Dec 31, 2016
C9477Injection, elotuzumab, 1 mg—Jul 1, 2016Ended Dec 31, 2016
C9478Injection, sebelipase alfa, 1 mg—Jul 1, 2016Ended Dec 31, 2016
C9479Instillation, ciprofloxacin otic suspension, 6 mg—Jul 1, 2016Ended Dec 31, 2016
C9480Injection, trabectedin, 0.1 mg—Jul 1, 2016Ended Dec 31, 2016
C9481Injection, reslizumab, 1 mg—Oct 1, 2016Ended Dec 31, 2016
C9482Injection, sotalol hydrochloride, 1 mg—Oct 1, 2016Active
C9483Injection, atezolizumab, 10 mg—Oct 1, 2016Ended Dec 31, 2017
C9484Injection, eteplirsen, 10 mg—Apr 1, 2017Ended Dec 31, 2017
C9485Injection, olaratumab, 10 mg—Apr 1, 2017Ended Dec 31, 2017
C9486Injection, granisetron extended release, 0.1 mg—Apr 1, 2017Ended Dec 31, 2017
C9487Ustekinumab, for intravenous injection, 1 mg—Apr 1, 2017Ended Jun 30, 2017
C9488Injection, conivaptan hydrochloride, 1 mg—Apr 1, 2017Active
C9489Injection, nusinersen, 0.1 mg—Jul 1, 2017Ended Dec 31, 2017
C9490Injection, bezlotoxumab, 10 mg—Jul 1, 2017Ended Dec 31, 2017
C9491Injection, avelumab, 10 mg—Oct 1, 2017Ended Dec 31, 2017
C9492Injection, durvalumab, 10 mg—Oct 1, 2017Ended Dec 31, 2018
C9493Injection, edaravone, 1 mg—Oct 1, 2017Ended Dec 31, 2018
C9494Injection, ocrelizumab, 1 mg—Oct 1, 2017Ended Dec 31, 2017
C9497Loxapine, inhalation powder, 10 mg—Jan 1, 2014Ended Dec 31, 2018
C9507Plasma, high titer covid-19 convalescent, each unit—Dec 28, 2021Active
C9600Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch—Jan 1, 2013Active
C9601Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)—Jan 1, 2013Active
C9602Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch—Jan 1, 2013Active
C9603Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)—Jan 1, 2013Active
C9604Percutaneous 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—Jan 1, 2013Active
C9605Percutaneous 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; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure)—Jan 1, 2013Active
C9606Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel—Jan 1, 2013Active
C9607Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel—Jan 1, 2013Active
C9608Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure)—Jan 1, 2013Active
C9610Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)—Jan 1, 2025Active
C9724Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy—Apr 1, 2005Ended Dec 31, 2015
C9725Placement of endorectal intracavitary applicator for high intensity brachytherapy—Oct 1, 2005Active
C9726Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure—Jan 1, 2006Active
C9727Insertion of implants into the soft palate; minimum of three implants—Oct 1, 2006Active
C9728Placement 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—Jul 1, 2007Active
C9733Non-ophthalmic fluorescent vascular angiography—Apr 1, 2012Active
C9734Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance—Apr 1, 2013Active
C9735Anoscopy; with directed submucosal injection(s), any substance—Apr 1, 2013Ended Dec 31, 2014
C9737Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)—Jan 1, 2014Ended Jun 30, 2015
C9738Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)—Jan 1, 2018Active
C9739Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants—Apr 1, 2014Active
C9740Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants—Apr 1, 2014Active
C9741Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report—Oct 1, 2014Ended Dec 31, 2018
C9742Laryngoscopy, flexible fiberoptic, with injection into vocal cord(s), therapeutic, including diagnostic laryngoscopy, if performed—Jan 1, 2015Ended Dec 31, 2016
C9743Injection/implantation of bulking or spacer material (any type) with or without image guidance (not to be used if a more specific code applies)—Oct 1, 2015Ended Jun 30, 2016
C9744Ultrasound, abdominal, with contrast—Oct 1, 2016Ended Dec 31, 2018
C9745Nasal endoscopy, surgical; balloon dilation of eustachian tube—Jul 1, 2017Ended Dec 31, 2020
C9746Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed—Jul 1, 2017Ended Jun 30, 2019
C9747Ablation of prostate, transrectal, high intensity focused ultrasound (hifu), including imaging guidance—Jul 1, 2017Ended Dec 31, 2020
C9748Transurethral destruction of prostate tissue; by radiofrequency water vapor (steam) thermal therapy—Jan 1, 2018Ended Dec 31, 2018
C9749Repair of nasal vestibular lateral wall stenosis with implant(s)—Apr 1, 2018Ended Dec 31, 2020
C9750Insertion 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)—Oct 1, 2018Ended Dec 31, 2018
C9751Bronchoscopy, 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 (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)—Jan 1, 2019Ended Dec 31, 2025
C9752Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum—Jan 1, 2019Ended Dec 31, 2021
C9753Destruction 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)—Jan 1, 2019Ended Dec 31, 2021
C9754Creation 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)—Jan 1, 2019Ended Jun 30, 2020
C9755Creation 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—Jan 1, 2019Ended Jun 30, 2020
C9756Intraoperative 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)—Jul 1, 2019Active
C9757Laminotomy (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—Jan 1, 2020Active
C9758Blinded 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—Jan 1, 2020Active
C9759Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed—Jul 1, 2020Active
C9760Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, 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—Jul 1, 2020Active
C9761Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if necessary, with use of steerable ureteral catheter or suction-integrated ureteroscope—Oct 1, 2020Active
C9762Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging—Jul 1, 2020Active
C9763Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with stress imaging—Jul 1, 2020Active
C9764Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed—Jul 1, 2020Active
C9765Revascularization, 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—Jul 1, 2020Active
C9766Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed—Jul 1, 2020Active
C9767Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed—Jul 1, 2020Active
C9768Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)—Oct 1, 2020Active
C9769Cystourethroscopy, with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts—Oct 1, 2020Ended Dec 31, 2024
C9770Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent—Jan 1, 2021Ended Dec 31, 2023
C9771Nasal/sinus endoscopy, cryoablation nasal tissue(s) and/or nerve(s), unilateral or bilateral—Jan 1, 2021Ended Dec 31, 2023
C9772Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel (s), when performed—Jan 1, 2021Active
C9773Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed—Jan 1, 2021Active
C9774Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel (s), when performed—Jan 1, 2021Active
C9775Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel (s), when performed—Jan 1, 2021Active
C9776Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g., cystic duct, common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure)—Apr 1, 2021Active
C9777Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy—Apr 1, 2021Active
C9778Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)—Jul 1, 2021Active
C9779Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed—Oct 1, 2021Active
C9780Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance—Oct 1, 2021Active
C9781Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed—Apr 1, 2022Active
C9782Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study—Apr 1, 2022Active
C9783Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study—Apr 1, 2022Active
C9784Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components—Jul 1, 2023Ended Dec 31, 2025
C9785Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components—Jul 1, 2023Active
C9786Echocardiography image post processing for computer aided detection of heart failure with preserved ejection fraction, including interpretation and report—Jul 1, 2023Ended Dec 31, 2024
C9787Gastric electrophysiology mapping with simultaneous patient symptom profiling—Jul 1, 2023Ended Jun 30, 2024
C9788Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination—Oct 1, 2023Ended Dec 31, 2023
C9789Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed—Oct 1, 2023Active
C9790Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance—Oct 1, 2023Ended Jun 30, 2024
C9791Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent—Oct 1, 2023Active
C9792Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)—Oct 1, 2023Active
C97933d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report—Jan 1, 2024Active
C9794Therapeutic radiology simulation-aided field setting; complex, including acquisition of pet and ct imaging data required for radiopharmaceutical-directed radiation therapy treatment planning (i.e., modeling)—Jan 1, 2024Ended Dec 31, 2024