| HCPCS Code: |
C9604 |
| Long Description: |
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 |
| Pricing Indicator 1: |
53 (Statute) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
1833(t) |
| Coverage Code: |
D (Special coverage instructions apply) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
0107 |
| Berenson-Eggers Type of Service (BETOS) Code: |
P2F (Major procedure, cardiovascular-Other) |
| Type of Service Code 1: |
2 (Surgery) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2013 |
| Action Effective Date: |
01-01-2013 |
| Action Code: |
N (No maintenance for this code) |
