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PM Rev. A-01-41, Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System

Program Memorandum

Department of Health and Human Services (DHHS)

Intermediaries

HEALTH CARE FINANCING ADMINISTRATION (HCFA)

PM Rev. A-01-41, Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System

Date: March 22, 2001

CHANGE REQUEST 1610

SUBJECT: Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System

I. General Discussion

This Program Memorandum (PM) gives instructions for the implementation of category codes for use in making transitional pass-through payments for devices under Medicare’s outpatient prospective payment system (OPPS). These instructions apply to medical devices, including devices of brachytherapy and cryoablation. Transitional pass-through payments for drugs or biologicals are not affected by the changes discussed here.

Since the inception of OPPS, transitional pass-through payments have been made on the basis of codes (C” codes of the HCFA Common Procedure Coding System (HCPCS)) defined for individual devices (e.g., Acme dual chamber pacemaker). C codes have been assigned by HCFA exclusively for this purpose. Only devices specifically identified in the long descriptions associated with the codes have been qualified for transitional pass-through payments. In some instances, the same code has been used for several similar devices, each specifically identified. This coding practice has been referred to as “item specific.”

The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 requires the establishment of categories for purposes of determining transitional pass-through payment for devices, effective April 1, 2001. For items furnished on or after April 1, hospitals should bill using the category codes defined in Attachment II when furnishing devices that qualify for transitional pass-through payment. These new codes are also in the C series of HCPCS and are exclusively for use in billing for transitional pass-through payments. Each item previously determined to qualify fits in one of these categories. Other items may be billed using the category codes, even though HCFA has not qualified them on an item-specific basis, as long as they:

A.Meet the definition of a device that qualifies for transitional pass-through payments and other requirements and definitions put forth below in Section III;

B.Are described by the long descriptor associated with an active category code assigned by HCFA in Attachment II of this instruction or in a subsequent instruction; and

C.Accord with definitions of terms and other general explanations issued by HCFA to accompany coding assignments in this or subsequent instructions. (See Attachment I.)

HCFA Pub. 60A

Note that the categories presented here are based only on devices previously qualified for transitional pass-through payment on an item-specific basis. As is explained below, other devices not previously qualified will also fit in these categories if they meet the applicable descriptors and instructions. If a device does not meet the description of any established category and the other coding instructions,

even though it appears to meet the other requirements in Section III, it may not be billed for transitional pass-through payments until an applicable category is established by HCFA. We will publish criteria that we will use for creation of additional categories in the near future, and we will use these criteria in establishing additional categories. We will specify in a Program Memorandum any additional categories that we establish.

This instruction addresses how devices that qualify for transitional pass-through payments are to be coded. The introduction of categories makes no changes with respect to how payment amounts are calculated. The transitional pass-through payment for a device will continue to be based on the charge on the individual bill, reduced to cost, and subject (in some instances) to a deduction that represents the cost of similar devices already included in the APC payment rate. Such deductions are made by the PRICER software in processing the claim.

The qualification of a device for transitional pass-through payments is temporary. Most of the categories established here will expire on January 1, 2003. (The underlying provision is permanent, and categories established later will expire in successive years.) At that time, APC payment rates will be adjusted to reflect the costs of devices (and drugs and biologicals) that received transitional pass-through payments. These adjustments will be based on claims data that reflect the use of codes for transitional pass-through devices, drugs and biologicals in conjunction with the CPT codes for the associated procedures. While some of the categories established here include devices that vary significantly in cost, claims data that shows use of CPT and device together will allow us to insure appropriate assignment of these costs to relevant APCs.

The Outpatient Code Editor (OCE) and PRICER currently contain the codes included in this document. However, Fiscal Intermediaries must add these codes to the HCPCS file in their internal claims processing systems. The codes are currently available to Fiscal Intermediaries for immediate retrieval via HCFA's mainframe telecommunication system under the following file name:

Data MU00.@AAA2360.HCPC0401.CONTR

Print MU00.@AAA2360.HCPC0401.PRINT

Because of time constraints, we were unable to update several of the short descriptors in the OCE for the April 2001 update. Therefore, the short descriptor for a specific category C-code may not be appropriately defined in the OCE. However, the correct short descriptors will be shown on remittance advice, cross-over claims, and Medicare summary notices. We will modify the short descriptors to be consistent with the long descriptors in the July 2001 update.

All of the C-codes included in this file are used exclusively for services paid under the outpatient PPS and may not be used to bill services paid under other Medicare payment systems.

II. Roles of Hospitals, Manufacturers, and HCFA

In general, hospitals are ultimately responsible for the content of the bills they present to Medicare. Determining which category code is applicable for a specific item will be the responsibility of the billing hospital. Hospitals are expected to make these determinations in accord with these instructions and with usual coding and billing practices. They may rely on information presented here and in subsequent HCFA issuances noted below. We expect to post these issuances on our web page (www.hcfa.gov) for ready reference. Claims for outpatient prospective payment services are subject to the same review process as other hospital claims.

To assist with transition to the new codes, Attachment III of this document contains a “cross-walk” that shows which old codes (for individual devices) are associated with which new category code. Hospitals may continue to use the old codes during a grace period, as discussed in Attachment I. Note, however, that this cross-walk covers only those items previously determined eligible. Some other items that have not previously been determined eligible will be eligible to be included in categories and to receive transitional pass-through payments. In other words, if a device appears on this cross-walk, it is eligible while its category is effective, but other devices that do not appear will also be eligible. In general, HCFA does not expect to make item-specific determinations of such items as we have done previously. Consequently, we will not update this cross-walk in the future.

Many device manufacturers routinely provide hospital customers with information about appropriate coding of their devices. We understand that information provided by manufacturers in this manner can significantly simplify the hospitals’ task in determining how to bill transitional pass-through payments. Accordingly, HCFA, in reviewing for appropriate billing of transitional pass-through items, will regard such information as, in general, reasonable support for a coding decision with respect to whether payment was appropriate. If hospitals have questions about appropriate coding that they cannot resolve on their own, the appropriate first step would be to seek information from the manufacturer.

While we expect hospitals, with the assistance of manufacturers, to be able to make the vast majority of coding decisions appropriately on the basis of information in this and subsequent instructions, a few problematic cases may nonetheless emerge. To help address such cases, HCFA will provide information on whether a particular device may be billed for transitional pass-through payments and/or which category would be applicable. We do not expect that such information will be needed except in a very few ambiguous cases. In general, for us to make such a judgment we will need information that is readily available only from the manufacturer. In some instances, consideration of such questions may reveal the need for an application from a manufacturer for a new category. Accordingly, a hospital wishing to secure such clarification is encouraged to first work with and through the manufacturer, rather than contacting HCFA directly. HCFA will post on its web page the results of any requests received for such decisions. We emphasize that HCFA does not have to have qualified a particular device for transitional pass-through payment before a hospital can bill for the device. In general, hospitals are expected to make appropriate coding decisions based on these instructions and other information available to them.

III. Devices Eligible for Transitional Pass-through Payments

The definition of devices was elaborated in an Interim Final Rule with Comment Period published in the Federal Register on August 3, 2000 (65 FR 47670; the regulatory changes in that rule are compiled at 42 CFR 419.43). HCFA’s implementation of BIPA will necessitate changes in certain aspects of this definition of devices. In particular, one aspect of that definition, dealing with whether Medicare paid for a device in outpatient departments as of December 31, 1996, will no longer apply effective April 1. BIPA also requires the test of whether the cost of a device is “not insignificant” to be applied on the basis of the average cost of devices in a category, not an individual item. (HCFA will make determinations about whether a category passes the “not insignificant” test when it establishes new categories. Hospitals do not make these determinations and should assume any category established by HCFA meets this test.) HCFA will revise the regulations as soon as possible to reflect the changes made by BIPA. In the meantime, for coding purposes on or after April 1 hospitals and others must rely on the following information regarding which devices are eligible for transitional pass-through payments:

  1. They are described by the long descriptor of a C code issued by HCFA for this purpose and meet other definitions and general coding instructions in this or subsequent instructions.
  2. They have been approved or cleared for use by the Food and Drug Administration (FDA), if such approval or clearance is required and subject to the exception for certain investigational devices noted in C.
  3. They are considered to be reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body part, as required by section 1862(a)(1)(A) of the Act. Some investigational devices are refinements or replications of existing technologies and may be considered reasonable and necessary. Such devices that have received an FDA investigational device exemption (IDE) and are classified by the FDA as Category B devices are eligible for transitional pass-through payments if all other requirements are met.
  4. They are an integral and subordinate part of the procedure performed, are used for one patient only, are single use, come in contact with human tissue, and are surgically implanted or inserted whether or not they remain with the patient when the patient is released from the hospital outpatient department.
  5. They are not equipment, instruments, apparatuses, implements, or such items for which depreciation and financing expenses are recovered as depreciable assets as defined in Chapter 1 of the Medicare Provider Reimbursement Manual (HCFA Pub. 15-1).
  6. They are not materials and supplies (such as sutures, customized surgical kits, or clips, other than radiological site makers) furnished incident to a service or procedure. Supplies include pharmacological imaging and stressing agents other than radiopharmaceutical or contrast agents (for which transitional pass-through payments are authorized under section 1833(t)(6)(A) of the Act).
  7. They are not materials such as biologicals or synthetics that may be used to replace human skin.

To qualify for a transitional pass-through payment, a device must meet all of these requirements, and in addition it must be medically necessary in a particular case. Medicare only makes transitional pass-through payments for a device in conjunction with a procedure for its implantation or insertion. Consequently, a device will only be considered medically necessary and eligible for a transitional pass-through payment if the associated procedure is also medically necessary and payable under the outpatient prospective payment system.

In coding devices for transitional pass-through payments, an important concern is to ensure that the items in fact meet the requirements for transitional pass-through payments. These payments are not available for supplies or for capital equipment, and HCFA is concerned that transitional pass-through payments not be inadvertently made for such items. Thus, for example, scalpels and coagulators are considered supplies because they are neither implanted (like a pacemaker) nor surgically inserted (like an ablation catheter) in a patient. The cost of these and other supplies are “packaged” into the APC payment rates for surgeries, and they do not qualify for separate transitional pass-through payments. Similarly, monitors or EKG machines that are used on multiple patients are treated as capital equipment. Costs of these items are amortized and packaged in the payments for applicable APCs. In making determinations of which individual devices qualify for transitional pass-through payments, HCFA excluded both supplies and capital equipment, and the need to do so is not changed by the introduction of categories. Hospitals should be vigilant in not billing for transitional pass-through payments for either supplies or capital equipment.

Immediately place this PM on your website. This PM should also be distributed with your next regularly scheduled bulletin.

The effective date for this PM is April 1, 2001. This date applies to the date of service performed on or after April 1, 2001.

The implementation date for this PM is April 1, 2001.

These instructions should be implemented within your current operating budget.

This PM may be discarded after April 1, 2002.

If you have any questions, contact Marjorie Baldo (MBaldo@hcfa.gov) at (410) 786-4617.

Attachment I. General Coding and Billing Instructions and Explanations

This attachment will be described as Release 2001-01 of General Coding and Billing Instructions and Explanations. Subsequent releases will be numbered in sequence. These releases will be posted on HCFA’s web page for ready reference.

Kits: Manufacturers frequently package a number of individual items used in a particular procedure in a kit. Generally, to avoid complicating the category list unnecessarily and to avoid the possibility of double coding, we have not established codes for such kits. However, hospitals are free to purchase and use such kits. If the kits contain individual items that separately qualify for transitional pass-through payments, these items may be separately billed using applicable codes. Hospitals may not bill for transitional pass-through payments for supplies that may be contained in kits.

Multiple units: Hospitals must bill for multiple units of items that qualify for transitional pass-through payments when such items are used with a single procedure by entering the number of units used on the bill.

Old codes and grace period: The previous, item-specific C codes will remain active for a 90-day grace period. Hospitals may use these codes for services delivered up until June 30, 2001, when they will be retired. During this period, hospitals may bill an item under either an item-specific code, if one has been specified by HCFA as applicable for that item, or an appropriate category code, but not both.

Reporting of multiple categories: For items with multiple component devices that fall in more than one category (e.g., kits or systems other than those explicitly identified in the long descriptors), hospitals should code the appropriate category separately for each component. For example, the “Rotablator Rotational Angioplasty System (with catheter and advancer)” consists of both a catheter as well as an advancer/sheath. Report category C1724 for the catheter and C1894 for the advancer/sheath.

Also, for items packaged as kits that contain a catheter and an introducer, report both appropriate categories. For example, the “Clinicath 16G Peripherally Inserted Central Catheter (PICC) Dual-Lumen PolyFlow Polyurethane” contains a catheter and an introducer. To appropriately bill for this item, report category C1751 for the catheter and C1894 for the introducer.

Reprocessed devices: Hospitals may bill for transitional pass-through payments only for those devices that are “single use.” Reprocessed devices may be considered “single use” if they are reprocessed in compliance with enforcement guidance of the Food and Drug Administration (FDA) relating to the reprocessing of devices applicable at the time the service is delivered. The FDA is phasing in new enforcement guidance relating to reprocessing during 2001 and 2002. For further information, see FDA’s guidance document entitled “Enforcement Priorities for Single-Use Devices Reprocessed by Third Parties and Hospitals,” published August 14, 2000.

EXPLANATIONS OF TERMS

3D mapping catheter - Refers to a catheter used for mapping the electrophysiologic properties of the heart. Signals are identified by a specialized catheter and changed into a 3-dimensional map of a specific region of the heart.

Ablation catheter - Used to obliterate or necrose tissues in an effort to restore normal anatomic and physiologic function.

Adaptor for a pacing lead - Interposed between an existing pacemaker lead and a new generator. The end of the adaptor lead has the appropriate connector pin that will enable utilization of the existing pacemaker lead with a new generator that has a different receptacle. These are required when a generator is replaced or when two leads are connected to the same port in the connector block.

Anchor for opposing bone-to-bone or soft tissue-to-bone - Implantable pins and/or screws that are used to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone. Screws oppose tissues via drilling as follows: soft tissue-to-bone, tendon-to-bone, or bone-to-bone fixation. Pins are inserted or drilled into bone, principally with the intent to facilitate stabilization or oppose bone-to-bone. Anchors do not include screws used for anchoring plates to bone.

Balloon dilatation catheter, non-vascular – Catheter used to dilate strictures or stenoses through the insertion of an uninflated balloon affixed to the end of a flexible catheter, followed by the inflation of the balloon at the specified site (e.g., common bile duct, ureter, small or large intestine). [For the reporting of vascular balloon dilatation catheters, see category "Transluminal angioplasty catheter."]

Balloon tissue dissector catheter (insertable) - Balloon tipped catheter used to separate tissue planes, used in procedures such as hernia repairs.

Coated stent - Refers to a stent bonded with drugs (e.g., heparin) or layered with biocompatible substances (e.g., phosphorylcholine).

Connective tissue, human – These tissues include a natural, cellular collagen or extracellular matrix obtained from autologous rectus fascia, decellularized cadaveric fascia lata, or decellularized dermal tissue. They are intended to repair or support damaged or inadequate soft tissue. They are used to treat urinary incontinence resulting from hypermobility or Intrinsic Sphincter Deficiency (ISD), pelvic floor repair, or for implantation to reinforce soft tissues where weakness exists in the urological anatomy. [This excludes those items that are used to replace skin.] [For reporting mesh when used to treat urinary incontinence, see the category “Mesh.”] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category “Urinary incontinence repair device.”]

Connective tissue, non-human (includes synthetic) – These tissues include a natural, acellular collagen matrix typically obtained from porcine or bovine small intestinal submucosa, or pericardium. This bio-material is intended to repair or support damaged or inadequate soft tissue. They are used to treat urinary incontinence resulting from hypermobility or Intrinsic Sphincter Deficiency (ISD), pelvic floor repair, or for implantation to reinforce soft tissues where weakness exists in the urological or musculoskeletal anatomy. [This excludes those items that are used to replace skin.] [For reporting mesh when used to treat urinary incontinence, see the category “Mesh.”] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category “Urinary incontinence repair device.”]

Covered stent - Refers to a stent layered with silicone or a silicone derivative (e.g., PTFE, polyurethane).

Electrophysiology (EP) catheter - Assists in providing anatomic and physiologic information about the cardiac electrical conduction system. Electrophysiology catheters are categorized into two main groups: (1) diagnostic catheters that are used for mapping, pacing, and/or recording only, and (2) ablation (therapeutic) catheters that also have diagnostic capability. The electrophysiology ablation catheters are distinct from non-cardiac ablation catheters.

Extension for a pacing lead - Provides additional length to an existing pacing lead but does not have the capability of an adaptor.

Extension for a neurostimulator lead – Conducts electrical pulses from the power source (generator or neurostimulator) to the lead. The terms neurostimulator and generator are used interchangeably.

Guiding catheter - Intended for the introduction of interventional/diagnostic devices into the coronary or peripheral vascular systems. It can be used to inject contrast material, function as a conduit through which other devices pass, and/or provide a mechanism for measuring arterial pressure, and maintain a pathway created by the guide wire during the performance of a procedure.

Insertable retrieval device – A device designed to retrieve other devices or portions thereof (e.g., fractured catheters, leads) lodged within the vascular system.

Intraocular lens (new technology) - Refers to the intraocular lenses approved by HCFA as "new technology." A list of these lenses is published annually in the Federal Register.

Intraoperative ocular device for detached retina - A perfluorocarbon substance instilled during a vitreoretinal procedure to treat retinal detachment.

Joint device – An artificial joint such as a finger or toe that is implanted in a patient. Typically, a joint device functions as a substitute to its natural counterpart and is not used (as are anchors) to oppose soft tissue-to-bone, tendon-to-bone, or bone-to-bone.

Liquid pulmonary sealant - An absorbable, synthetic solution that forms a seal utilizing a photochemical polymerization process. It is used to seal visceral pleural air leaks incurred during pulmonary resection.

Material for vocal cord medialization, synthetic - Synthetic material that is composed of a non-absorbable substance such as silicone and can be injected or implanted to result in vocal cord medialization.

Mesh – A mesh implant or synthetic patch composed of absorbable or non-absorbable material that is used to repair hernias, support weakened or attenuated tissue, cover tissue defects, etc. [For reporting connective tissue (human or non-human) when used to treat urinary incontinence, see the category “Connective tissue, human” or “Connective tissue, non-human.”] [For reporting urinary incontinence repair device when used to treat urinary incontinence, see the category “Urinary incontinence repair device.”]

Morcellator -- Used for cutting, coring, and extracting tissue in laparoscopic procedures. These are distinct from biopsy devices because morcellators are used for the laparoscopic removal of tissue.

Patient programmer -- Programmer that allows the patient to operate their neurostimulator, for example, programming the amplitude and rate of stimulation of a neurostimulator system. Only a non-console patient programmer is eligible for transitional pass-through payments.

Peel-away introducer/sheath -- A non-absorbable sheath or introducer that separates into two pieces. This device is used primarily when removal of the sheath is required after a catheter or lead is in the desired position.

Septal defect implant system – An intracardiac metallic implant used for closure of various septal defects within the heart. The septal defect implant system includes a delivery catheter. The category code for the septal defect implant system (C1817) includes the delivery catheter; therefore, the delivery catheter should not be reported separately.

Stents with delivery system - Stents packaged with delivery systems generally include the following components: stent mounted or unmounted on a balloon angioplasty catheter, introducer, and sheath. These components should not be reported separately.

Temperature-controlled electrophysiology catheter – Ablation catheter that contains a cooling mechanism and has temperature sensing capability.

Temporary non-coronary stent - Usually composed of a substance, such as plastic or other non-absorbable material, designed to permit removal. Typically, this type of stent is placed for a period of less than one year.

Tissue marker - A material that is placed in subcutaneous or parenchymal tissue for radiopaque identification of an anatomic site. These markers are distinct from topical skin markers, which are positioned on the surface of the skin to serve as anatomical landmarks.

Transluminal angioplasty catheter - Designed to dilate stenotic blood vessels (arteries and veins). For vascular use, the terms “balloon dilatation catheter” and “transluminal angioplasty catheter” are frequently used interchangeably. [For the reporting of non-vascular balloon dilatation catheters, see the category "Balloon dilatation catheter."]

Transvenous VDD single pass pacemaker lead - A transvenous pacemaker lead that paces and senses in the ventricle and senses in the atrium.

Urinary incontinence repair device - Used to attach or insert a sling graft for the purpose of strengthening the pelvic floor. It consists of the device components used to deliver (suprapubically or transvaginally) and/or fixate (via permanent sutures or bone anchors) the sling graft. The device may or may not be packaged with a sling graft. Report the appropriate category for a device with or without a sling graft. [For reporting connective tissue (human or non-human) when used to treat urinary incontinence, see the category “Connective tissue, human” or “Connective tissue, non-human.”] [For reporting mesh when used to treat urinary incontinence, see the category “Mesh.”]

Vascular closure device (implantable/insertable)- Used to achieve hemostasis at arterial puncture sites following invasive or interventional procedures using biologic substances (e.g., collagen) or suture through the tissue tract.

Vector mapping catheter - Refers to an electrophysiology catheter with an "in-plane" orthogonal array of electrodes. This catheter is used to locate the source of a focal arrhythmia.

Attachment II. C-codes for Categories

The following categories are effective for services delivered on or after April 1, 2001. They are expected to remain in effect until January 1, 2003.

  HCPCS Codes Category Long Descriptor
1 C1883 Adaptor/extension, pacing lead or neurostimulator lead (implantable)
2 C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
3 C1715 Brachytherapy needle
  C1716 Brachytherapy seed, Gold 198
5 C1717 Brachytherapy seed, High Dose Rate Iridium 192
6 C1718 Brachytherapy seed, Iodine 125
7 C1719 Brachytherapy seed, Non-High Dose Rate Iridium 192
8 C1720 Brachytherapy seed, Palladium 103
9 C2616 Brachytherapy seed, Yttrium-90
10 C1721 Cardioverter-defibrillator, dual chamber (implantable)
11 C1882 Cardioverter-defibrillator, other than single or dual chamber (implantable)
12 C1722 Cardioverter-defibrillator, single chamber (implantable)
13 C1723 Catheter, ablation, non-cardiac
14 C1726 Catheter, balloon dilatation, non-vascular
15 C1727 Catheter, balloon tissue dissector, non-vascular (insertable)
16 C1728 Catheter, brachytherapy seed administration
17 C1729 Catheter, drainage, biliary
18 C1730 Catheter, electrophysiology, diagnostic, other than 3D mapping (19 or fewer electrodes)
19 C1731 Catheter, electrophysiology, diagnostic, other than 3D mapping (20 or more electrodes)
20 C1732 Catheter, electrophysiology, diagnostic/ablation, 3D or vector mapping
21 C1733 Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, other than temperature-controlled
22 C2630 Catheter, electrophysiology, diagnostic/ablation, other than 3D or vector mapping, temperature-controlled
23 C1887 Catheter, guiding (may include infusion/perfusion capability)
24 C1750 Catheter, hemodialysis, long-term
25 C1752 Catheter, hemodialysis, short-term
26 C1751 Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)
27 C1759 Catheter, intracardiac echocardiography
28 C1754 Catheter, intradiscal
29 C1755 Catheter, intraspinal
30 C1753 Catheter, intravascular ultrasound
31 C2628 Catheter, occlusion
32 C1756 Catheter, pacing, transesophageal
33 C2627 Catheter, suprapubic/cystoscopic
34 C1757 Catheter, thrombectomy/embolectomy
35 C1885 Catheter, transluminal angioplasty, laser
36 C1725 Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)
37 C1714 Catheter, transluminal atherectomy, directional
38 C1724 Catheter, transluminal atherectomy, rotational
39 C1758 Catheter, ureteral
40 C1760 Closure device, vascular (implantable/insertable)
41 L8614 Cochlear implant system
42 C1762 Connective tissue, human (includes fascia lata)
43 C1763 Connective tissue, non-human (includes synthetic)
44 C1881 Dialysis access system (implantable)
45 C1764 Event recorder, cardiac (implantable)
46 C1767 Generator, neurostimulator (implantable)
47 C1768

Graft, vascular

48

C1769

Guide wire

49

C1770

Imaging coil, magnetic resonance (insertable)

50

C1891

Infusion pump, non-programmable, permanent (implantable)

51

C2626

Infusion pump, non-programmable, temporary (implantable)

52

C1772

Infusion pump, programmable (implantable)

53

C1893

Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, other than peel-away

54

C1892

Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away

55

C1894

Introducer/sheath, other than guiding, intracardiac electrophysiological, non-laser

56

C2629

Introducer/sheath, other than guiding, intracardiac electrophysiological, laser

57

C1776

Joint device (implantable)

58

C1895

Lead, cardioverter-defibrillator, endocardial dual coil (implantable)

59

C1777

Lead, cardioverter-defibrillator, endocardial single coil (implantable)

60

C1896

Lead, cardioverter-defibrillator, other than endocardial single or dual coil (implantable)

61

C1778

Lead, neurostimulator (implantable)

62

C1897

Lead, neurostimulator test kit (implantable)

63

C1898

Lead, pacemaker, other than transvenous VDD single pass

64

C1779

Lead, pacemaker, transvenous VDD single pass

65

C1899

Lead, pacemaker/cardioverter-defibrillator combination (implantable)

66

C1780

Lens, intraocular (new technology)

67

C1878

Material for vocal cord medialization, synthetic (implantable)

68

C1781

Mesh (implantable)

69

C1782

Morcellator

70

C1784

Ocular device, intraoperative, detached retina

71

C2619

Pacemaker, dual chamber, non rate-responsive (implantable)

72

C1785

Pacemaker, dual chamber, rate-responsive (implantable)

73

C2621

Pacemaker, other than single or dual chamber (implantable)

74

C2620

Pacemaker, single chamber, non rate-responsive (implantable)

75

C1786

Pacemaker, single chamber, rate-responsive (implantable)

76

C1787

Patient programmer, neurostimulator

77

C1788

Port, indwelling (implantable)

78

C2618

Probe, cryoablation

79

C1789

Prosthesis, breast (implantable)

80

C1813

Prosthesis, penile, inflatable

81

C2622

Prosthesis, penile, non-inflatable

82

C1815

Prosthesis, urinary sphincter (implantable)

83

C1816

Receiver and/or transmitter, neurostimulator (implantable)

84

C1771

Repair device, urinary, incontinence, with sling graft

85

C2631

Repair device, urinary, incontinence, without sling graft

86

C1773

Retrieval device, insertable (used to retrieve fractured medical devices)

87

C2615

Sealant, pulmonary, liquid (Implantable)

88

C1817

Septal defect implant system, intracardiac

89

C1874

Stent, coated/covered, with delivery system

90

C1875

Stent, coated/covered, without delivery system

91

C2625

Stent, non-coronary, temporary, with delivery system

92

C2617

Stent, non-coronary, temporary, without delivery system

93

C1876

Stent, non-coated/non-covered, with delivery system

94

C1877

Stent, non-coated/non-covered, without delivery system

95

C1879

Tissue marker (implantable)

96

C1880

Vena cava filter

 

 

 

Attachment III. Cross-walk from Item-specific C codes to New Category C-codes

Current C-Code Long Descriptor New Category C-code
C1000 Closure, arterial vascular device, Perclose Closer Arterial Vascular Closure Device, Prostar Arterial Vascular Closure Device, Closer S Arterial Vascular Closure Device C1760
C1001 Catheter, diagnostic ultrasound, AcuNav Diagnostic Ultrasound Catheter C1759
C1003 Catheter, 7 Fr CSM Livewire EP Catheter (model 401935), 5FR Decapolar (models 401938, 401939, 401940, 401941) C1730
C1003 Catheter, Livewire TC Ablation Catheter 402132, 402133, 402134, 402135, 402136, 402137, 402145, 402146, 402147, 402148, 402149, 402150, 402151, 402152, 402153, 402154, 402155, 402156, Livewire TC Compass Ablation Catheter (models 402205, 402006, 402207, 402208) C1733
C1004 Introducer, guiding, Fast-Cath, Swartz, SAFL, CSTA, SEPT, RAMP C1893
C1006 Intraocular lens, Array Multifocal Silicone Posterior Chamber Intraocular Lens C1780
C1007 Prosthesis, penile, AMS 700 Penile Prosthesis, AMS Ambicor Penile Prosthesis, Dura II Penile Prosthesis C1813
C1007 Prosthesis, penile, AMS Malleable 650 Penile Prosthesis C2622
C1008 Stent, urethral, UroLume C1877
C1008 Cook Harrison Fetal Bladder Stent C2617
C1025 Catheter, Marinr CS C1733
C1026 Catheter, ablation, RF Performr, 5F RF Marinr C1733
C1027 Stent, coronary, Magic Wallstent Extra Short or Short Coronary Self Expanding Stent with Delivery System, Radius 14mm Self Expanding Stent with Over the Wire Delivery System C1876
C1028 Sling fixation system for treatment of stress urinary incontinence, Precision Twist Transvaginal Anchor System, Precision Tack Transvaginal Anchor System, Vesica Press-In Anchor System, Capio CL (TVB/S) Transvaginal Suturing Device, Capio Suture Capturing Device, Standard or Open Access C2631
C1029 Catheter, balloon dilatation, MS Classique Balloon Dilation Catheter C1725
C1029 Catheter, balloon dilatation, Controlled Radial Expansion Balloon Dilatation Catheter Wire-Guided and Fixed Wire, Wilson-Cook Quantum Dilation Balloon C1726
C1030 Catheter, balloon dilatation, Marshal, Blue Max 20, Ultra-Thin Diamond, Ultra-Thin Balloon Dilatation Catheter, Ultra-Thin ST Balloon Dilatation Catheter, Ultra-Thin Balloon Dilatation Catheter with Glidex Hydrophilic Coated Balloon, Ultra-Thin ST Balloon Dilatation Catheter with Glidex Hydrophilic Coated Balloon C1725
C1033 Catheter, imaging, Sonicath Ultra Model 37-410 Ultrasound Imaging Catheter, Sonicath Ultra 9 MHz Ultrasound Imaging Catheter C1753
C1034 Catheter, coronary angioplasty, SURPASS Superfusion Catheter, Long 30 SURPASS Superfusion Catheter C1725
C1035 Catheter, intracardiac echocardiography, Ultra ICE 6F, 12.5 MHz Catheter with Disposable Sheath, Ultra ICE 9F, 9 MHz Catheter with Disposable Sheath NOTE: To appropriately bill for these pass-through devices, report two categories. The catheter should be reported with category code C1759 and the introducer/sheath should be reported with category code C1894. C1759/ C1894
C1036 Port/reservoir, venous access device, Vaxcel Implantable Vascular Access System, R Port Premier Vascular Access System (models 45-100, 45-155), Sims Deltec Pro Port Single Lumen Low Profile Implantable Venous Access System, Sims Deltec Port-A-Cath II Dual Lumen Low Profile Implantable Venous Access System, Sims Deltec Port-A-Cath II Fluoro-Free Implantable Venous Access System, Sims Deltec P.A.S. Port Fluoro-Free Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Fluoro-Free Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port T2 Elite Implantable Peripheral Venous Access System, Sims Deltec P.A.S. Port Elite Implantable Peripheral Venous Access System, Sims Deltec Port-A-Cath II Implantable Epidural System Low Profile Venous Access System, Cook Vital Port Access Set, Horizon Medical MicroPort 2 Peripheral Access System C1788
C1037 Catheter, Vaxcel Chronic Dialysis Catheter, Medcomp Bio Flex Tesio Catheter, Medcomp Silicone Tesio Catheter, Medcomp Hemo-Cath Long Term Silicone Catheter, Bard Opti-Flow Dual Lumen Catheter, Medcomp Ash Split Catheter C1750
C1037 Catheter, Bard Niagara Dual Lumen Catheter C1752
C1038 Catheter, imagining, UltraCross 2.9 F 30 MHz Coronary Imaging Catheter, UltraCross 3.2 F MHz Coronary Imaging Catheter C1753
C1039 Stent, tracheobronchial, Wallstent Tracheobronchial Endoprosthesis (covered) C1875
C1039 Stent, tracheobronchial, Wallstent Tracheobronchial Endoprosthesis with Permalume Covering and Unistep Plus Delivery System C1874
C1039 Stent, tracheobronchial, Wallstent RP Tracheobronchial Endoprosthesis with Unistep Plus Delivery System C1876
C1040 Stent, self-expandable for creation of intrahepatic shunts, Wallstent Transjugular Intrahepatic Portosystemic Shunt (TIPS) with Unistep Plus Delivery System (40/42/60/68mm in length), Wallstent RP TIPS Endoprosthesis with Unistep Plus Delivery System (42/68) mm in length) C1876
C1042 Stent, biliary, Wallstent Biliary Endoprosthesis with Unistep Plus Delivery System, Wallstent Biliary Endoprosthesis with Unistep Delivery System (Biliary Stent and Catheter), Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System, Ultraflex Diamond Biliary Stent System, New Microvasive Biliary Stent and Delivery System C1876
C1043 Catheter, atherectomy, Atherocath-GTO Atherectomy Catheter C1714
C1043 Atherectomy system, coronary, Interventional Technologies Transluminal Extraction Coronary (TEC) Atherectomy System C1724
C1043 Atherectomy system, peripheral, Rotablator RotaLink Rotational Atherectomy System (includes burr, catheter, advancer, and guide wire) NOTE: To appropriately bill for these pass-through devices, report three categories. The catheter should be reported with category code C1724, the advancer (sheath) with C1894, and the guide wire with C1769. C1724/ C1894/ C1769
C1047 Catheter, diagnostic, Navi-Star Diagnostic Deflectable Tip Catheter, NOGA-STAR Diagnostic Deflectable Tip Catheter C1732
C1048 Generator, bipolar pulse, Cyberonics NeuroCybernetic Prosthesis Generator C1767
C1051 Catheter, thrombectomy, Oasis Thrombectomy Catheter, Fogarty Adherent Clot Catheter (4 Fr, 5 Fr, 6Fr), 6 Fr Thrombex PMT Catheter (60cm, 120cm) C1757
C1053 Catheter, diagnostic, EnSite 3000 Catheter C1732
C1054 Catheter, thrombectomy, Hydrolyser 6F Mechanical Thrombectomy Catheter, Hydrolyser 7F Mechanical Thrombectomy Catheter, Microvena Helix Clot Buster Thrombectomy Device, 7F (60cm, 120cm) C1757
C1055 Catheter, Flex-EZ Balloon Dilator, EZ Resolution Balloon Dilator (models 3802, 3804, 3806) C1726
C1055 Catheter, Transesophageal 210 Atrial Pacing Catheter, Transesophageal 210-S Atrial Pacing Catheter C1756
C1056 Catheter, Gynecare Thermachoice II Catheter C1723
C1056 Cook OB/GYN Suprapubic Balloons, Cook Urological O'Brien Suprapubic Access Set, Cook Urological Suprapubic Balloons C2627
C1057 Tissue marker, 11-Gauge MicroMark II Tissue Marker C1879
C1060 Stent, coronary, ACS Multi-Link Tristar Coronary Stent System and Delivery System, ACS Multi-Link Ultra Coronary Stent System C1876
C1061 Merit Medical Systems Performa Vessel Sizing Catheter, Merit Medical Systems Pediatric/Adult Pigtail Catheter C1751
C1061 Catheter, coronary guide, ACS Viking Guiding Catheter, Cardima Vueport Balloon Occlusion Guiding Catheter C1887
C1063 Lead, defibrillator, Endotak Endurance EZ, Endotak Endurance RX, Endotak Endurance 0134, 0135, 0136 C1895
C1067 Stent, biliary, PALMAZ Balloon Expandable Stent and Delivery System C1876
C1067 Stent, biliary, Megalink Biliary Stent, Spiral Z Biliary Metal Expandable Stent, Za Biliary Metal Expandable Stent, Wallstent Transhepatic Biliary Endoprosthesis C1877
C1068 Pacemaker, dual chamber, Unity VDDR (model 292-07) C1785
C1068 Pacemaker, dual chamber, Pulsar DDD C2619
C1069 Pacemaker, dual chamber, Discovery DR C1785
C1071 Pacemaker, single chamber, Pulsar Max SR, Pulsar SR C1786
C1071 Pacemaker, single chamber, Vigor SSI C2620
C1072 Catheter, balloon dilatation, coronary, RX Esprit, RX Gemini, RX Solaris, OTW Photon, OTW Solaris C1725
C1073 Morcellator, laparascopic, Gynecare X-tract Laparascopic Morcellator C1782
C1074 Catheter, peripheral dilatation, RX Viatrac 14 Peripheral Dilatation Catheter, OTW Viatrac 18 Peripheral Dilatation Catheter C1725
C1075 Lead, pacemaker, Selute Picotip, Selute, Sweet Picotip Rx, Sweet Tip Rx, FineLine, FineLine EZ, ThinLine, ThinLine EZ C1898
C1076 Defibrillator, single chamber, automatic, implantable, Ventak Mini IV, Ventak Mini III HE, Ventak Mini III HE+ ( Model 1788, 1789), Ventak Mini III, Ventak Mini III+ ( Model 1783, 1786) C1722
C1077 Defibrillator, single chamber, automatic, implantable, Ventak Prizm VR, Ventak VR C1722
C1078 Defibrillator, dual chamber, automatic, implantable, Ventak Prizm, Ventak AV III DR C1721
C1100 Guide wire, percutaneous transluminal coronary angioplasty, Medtronic AVE GT1Guide Wire, Medtronic AVE GT2 Fusion Guide Wire, Interventional Technologies TrackWire, Interventional Technologies TrackWire Support, Interventional Technologies TrackWire Extra Support C1769
C1101 Catheter, percutaneous transluminal coronary angioplasty guide, Medtronic AVE 5F, 6F, 7F, 8F, 9F Zuma Guide Catheter, Medtronic AVE Z2 5F, 6F, 7F, 8F, 9F Zuma Guide Catheter, Medtronic AVE Vector Guide Catheter, Medtronic AVE Vector X Guide Catheter C1725
C1102 Generator, pulse, neurostimulator, Medtronic Synergy Neurostimulator Generator and Extension NOTE: To appropriately bill for these devices, report two categories. The pulse generator should be reported with category code C1767, and the neurostimulator extension with category code C1883. C1767/ C1883
C1103 Defibrillator, implantable, Micro Jewel, Micro Jewel II C1882
C1104 Catheter, ablation, RF Conductr MC 4mm, RF Conductr MC 5mm ( Model 6042, 7544), RF Conductr MC--EXT (with stiffer tip) 07864447, 078754447 C1733
C1105 Pacemaker, dual chamber, Sigma 300 VDD C2619
C1106 Neurostimulator, patient programmer, Synergy EZ Patient Programmer C1787
C1107 Catheter, diagnostic, electrophysiology, Torqr, Soloist, Dynamic XT Decapolar Catheter C1730
C1109 Anchor, implantable, Mitek GII Anchor, Mitek Knotless, Mitek TACIT, Mitek Rotator Cuff, Mitek GLS, Mitek Mini, Mitek FASTIN, Mitek Super, Mitek PANALOK, Mitek Micro, Mitek PANALOK RC, Mitek FASTIN RC, Innovasive ROC EZ, Innovasive MINIROC, Innovasive BIOROC, Innovasive ROC XS, Innovasive Contack, Biomet 3.5mm Cortical Screw, Biomet 4.5mm Cortical Screw (fully threaded), Biomet 6.5mm Cancellous Lag Screw (32mm thread length), Biomet 6.5mm Cannulated Cancellous Screw (20mm thread length) C1713
C1110 Catheter, diagnostic, electrophysiology, Stable Mapper C1731
C1115 Lead, pacemaker, 5038S, 5038, 5038L, Unipass (models 425-02, 425-04, 425-06) C1779
C1115 Lead, pacemaker, 4057M, 4058M, 4557M, 4558M, 5058, 6416 Pacemaker Lead, Innomedica Sutureless Myocardial (models 4045, 4046, 4047, 4058) C1898
C1115 Lead, pacemaker 2188 Coronary Sinus Lead C1899
C1116 Lead, pacemaker, CapSure SP Novus, CapSure SP, Capsure, Excellence +, S+, PS+, CapSure Z Novus, CapSure Z, Impulse C1898
C1118 Pacemaker, dual chamber, Sigma 300 DR, Legacy II DR C1785
C1119 Lead, defibrillator, Sprint 6932, Sprint 6943 C1777
C1120 Lead, defibrillator, Sprint 6942, Sprint 6945 C1895
C1121 Defibrillator, implantable, GEM C1722
C1123 Defibrillator, implantable, GEM II VR, GEM III VR (model 7231) C1722
C1124 Lead, neurostimulator, kit, InterStim Test Stimulation Lead Kit C1897
C1125 Pacemaker, single chamber, Kappa 400 SR, Topaz II SR, Topaz 3/Topaz SR (model 540), Legacy II S C1786
C1126 Pacemaker, dual chamber, Kappa 700 DR (all models), Clarity DR (models 860, 862, 865), Diamond 3/Diamond DR (model 840) C1785
C1127 Pacemaker, single chamber, Kappa 700 SR, Clarity SR (models 560, 562, 565) C1786
C1128 Pacemaker, dual chamber, Vita 2 DR (model 830) C1785
C1128 Pacemaker, dual chamber, Kappa 700 D, Ruby II D, Ruby 3/Ruby 3 D (model 740) C2619
C1129 Pacemaker, Kappa 700 VDD C2619
C1130 Pacemaker, dual chamber, Sigma 200 D, Legacy II D C2619
C1131 Pacemaker, dual chamber, Sigma 200 DR C1785
C1132 Pacemaker, single chamber, Sigma 200 SR, Legacy II SR, Legacy II S C1786
C1133 Pacemaker, single chamber, Sigma 300 SR, Vita SR, Vita 2 SR (model 530) C1786
C1134 Pacemaker, dual chamber, Sigma 300 D C2619
C1135 Pacemaker, dual chamber, rate-responsive, Entity DR 5326, Entity DR 5326L, Entity DR 5326R C1785
C1136 Pacemaker, dual chamber, rate-responsive, Affinity 5330, Affinity DR 5330L, Affinity DR 5330R C1785
C1137 Septal defect implant system, CardioSEAL Septal Occlusion System, CardioSEAL Occluder Delivery Catheter, AGA Medical Amplatzer PFO Occluder C1817
C1143 Pacemaker, dual chamber, AddVent 2060BL, Paragon III (models 2314L, 2315 M/S) C1785
C1144 Pacemaker, single chamber, rate-responsive, Affinity SR 5130, Affinity SR 5130L, Affinity 5130R, Integrity SR 5142, Integrity U SR 5136 C1786
C1145 Vascular closure device, Angio-Seal 6 French Vascular Closure Device (model 610091), Angio-Seal 8 French Vascular Closure Device (models 610089, 610097), Angio-seal 6 Fr EV Vascular Closure Device, Angio-seal 8 Fr EV Vascular Closure Device (models 610099, 610101) C1760
C1147 Lead, pacemaker, AV Plus DX 1368/52, AV Plus DX 1368/58, AV Plus DX 1368/65 C1779
C1148 Defibrillator, single chamber, implantable, Contour MD V-175, Contour MD V-175A, Contour MD V-175AC, Contour MD V-175B, Contour MD V-175C, Contour MD V-175D, Contour II (models V-185AC, V-185B, V-185C) C1722
C1149 Pacemaker, dual chamber, non-rate responsive, Entity DC 5226R, Entity DC 5226 C2619
C1151 Lead, pacemaker, Passive Plus DX 1343K/46, Passive Plus DX 1343K/52, Passive Plus DX 1345K/52, Passive Plus DX 1345K/58, Passive Plus DX 1336T/52, Passive Plus DX 1336T/58, Passive Plus DX 1342T/46, Passive Plus DX 1342T/52, Passive Plus DX 1346T/52, Passive Plus DX 1346T/58, Passive Plus TiN (model 1242T) C1898
C1152 Access system, dialysis, LifeSite Access System C1881
C1153 Pacemaker, single chamber, Regency SC+ 2402L C2620
C1154 Lead, defibrillator, SPL SP01, SPL SP02, SPL SP04, EndoTak DSP C1895
C1154 Lead, defibrillator, 6721L, 6721M, 6721S, 6939 Oval Patch Lead, CapSure 4965, DP-3238, Transvene 6933, Transvene 6937 C1896
C1155 Repliform Tissue Regeneration Matrix, per 8 square centimeters C1762
C1156 Pacemaker, single chamber, Affinity SR 5131M/S, Tempo VR 1102, Trilogy SR+ 2260L, Trilogy SR+ 2264L, Solus II (models 2006L, 2007 M/S) C1786
C1157 Pacemaker, dual chamber, Synchrony III (models 2028L, 2029 M/S) C1785
C1157 Pacemaker, dual chamber, Trilogy DC+ 2318L C2619
C1158 Lead, defibrillator, TVL SV01, TVL SV02, TVL SV04 C1896
C1159 Lead, defibrillator, TVL RV02, TVL RV06, TVLRV07 C1777
C1160 Lead, defibrillator, TVL-ADX 1559/65 C1777
C1161 Lead, pacemaker, Tendril DX 1388K/46, Tendril DX 1388K/52, Tendril DX 1388K/58, Tendril DX 1388T/46, Tendril DX 1388T/52, Tendril DX 1388T/58, Tendril DX 1388T/85, Tendril DX 1388T/100, Tendril DX 1388TC/46, Tendril DX 1388TC/52, Tendril DX 1388TC/58 C1898
C1162 Pacemaker, dual-chamber, Affinity DR 5331 M/S, Tempo DR 2102, Trilogy DR+ 2360L, Trilogy DR + 2364L C1785
C1163 Lead, pacemaker, Tendril SDX 1488T/46, Tendril SDX 1488T/52, Tendril SDX 1488T/58, Tendril SDX 1488TC/46, Tendril SDX 1488TC/52, Tendril SDX 1488TC/58 C1898
C1164 Brachytherapy seed, ImagynMedical Technologies I-125 seeds C1718
C1171 Site marker device, disposable, Auto Suture SITE MARKER Device C1879
C1172 Balloon, tissue dissector, Spacemaker Tissue Dissection Balloon, Spacemaker 1000cc Hernia Balloon Dissector C1727
C1173 Stent, coronary, S540 Over-the-Wire Coronary Stent System, S670 with Discrete Technology Over-the-Wire Coronary Stent System, S670 with Discrete Technology Rapid Exchange Coronary Stent System C1876
C1174 Needle, brachytherapy, Bard BrachyStar Brachytherapy Needle C1715
C1180 Pacemaker, single chamber, Vigor SR C1786
C1181 Pacemaker, single chamber, Meridian SSI C2620
C1182 Pacemaker, single chamber, Pulsar SSI C2620
C1183 Pacemaker, single chamber, Jade II S, Sigma 300 S, Jade 3/Jade 3S (model 340) C2620
C1184 Pacemaker, single chamber, Sigma 200 S, Sigma 100 S C2620
C1302 Lead, defibrillator, TVL SQ01 C1896
C1303 Lead, defibrillator, CapSure Fix 6940, CapSure Fix 4068-110 C1896
C1304 Catheter, imaging, Sonicath Ultra Model 37-416 Ultrasound Imaging Catheter, Sonicath Ultra Model 37-418 Ultrasound Imaging Catheter C1753
C1306 Lead, neurostimulator, Cyberonics NeuroCybernetic Prosthesis Lead, Octad Lead 3898-33/389861, On-Point Model 3987, Pisces—Quad Plus Model 3888, Resume TL Model 3986, Pisces—Quad Model 3487a, Resume II Model 3587a, SymMix Lead 3982 C1778
C1311 Pacemaker, dual chamber, Trilogy DR+/DAO C1785
C1312 Stent, coronary, Magic Wallstent Mini Coronary Self Expanding Stent with Delivery System C1876
C1313 Stent, coronary, Magic Wallstent Medium Coronary Self Expanding Stent with Delivery System, Radius 31mm Self Expanding Stent with Over the Wire Delivery System C1876
C1314 Stent, coronary, Magic Wallstent Long Coronary Self Expanding Stent with Delivery System C1876
C1315 Pacemaker, dual chamber, Vigor DR, Meridian DR C1785
C1315 Pacemaker, dual chamber, Vigor DDD, Vista DDD C2619
C1316 Pacemaker, dual chamber, Meridian DDD C2619
C1317 Pacemaker, single chamber, Discovery SR C1786
C1318 Pacemaker, single chamber, Meridian SR C1786
C1319 Stent, enteral, Wallstent Enteral Wallstent Endoprosthesis and Unistep Delivery System (60mm in length), Enteral Wallstent Endoprosthesis and Unistep Plus Delivery System/Single-Use Colonic and Duodenal Endoprosthesis with Unistep Plus Delivery System (60mm in length), Ultraflex Esophageal Stent System, Wallstent Esophageal Prosthesis with Delivery System C1876
C1319 Esophageal Z Metal Expandable Stent with Dua Anti-reflux Valve, Esophageal Z Metal Expandable Stent with Uncoated Flanges, Wallstent Esophageal Prosthesis (Double), Wilson-Cook Esophageal Z Metal Expandable Stent, Bard Memotherm Esophageal Stent C1877
C1320 Stent, iliac, Wallstent Iliac Endoprosthesis with Unistep Plus Delivery System, Wallstent RP Iliac Endoprosthesis with Unistep Plus Delivery System C1876
C1325 Brachytherapy seed, Theragenics Theraseed Palladium-103 seeds C1720
C1326 Catheter, thrombectomy, AngioJet Rheolytic Thrombectomy Catheter C1757
C1328 External transmitter, neurostimulation system, ANS Renew Spinal Cord Stimulator System C1816
C1333 Stent, biliary, PALMAZ Corinthian Transhepatic Biliary Stent and Delivery System, Cook Oasis One Action Stent Introductory System, Large Palmaz Balloon Expandable Stent with Delivery System C1876
C1333 Cook Z Stent Gianturco-Rosch Biliary Design, Cordis Palmaz XL Transhepatic Biliary Stent C1877
C1334 Stent, coronary, PALMAZ-Schatz Crown Stent, Cook Gianturco-Roubin Flex-Stent Coronary Stent C1877
C1334 Stent, coronary, Mini-Crown Stent, CrossFlex LC Stent C1876
C1335 Mesh, hernia, Prolene Polypropylene Hernia System, Prolene Soft Mesh (Polypropylene), Trelex Natural Mesh C1781
C1336 Infusion pump, implantable, non-programmable, Constant Flow Implantable Pump with Bolus Safety Valve Model 3000, Model 3000-16 (16ml), Model 3000-50 (50ml) C1891
C1337 Infusion pump, implantable, non-programmable, IsoMed Infusion Pump Model 8472-20, 8472-35, 8472-60 C1891
C1350 Brachytherapy, per source, ProstaSeed I-125 C1718
C1351 Lead, pacemaker, CapSureFix, SureFix, Pirouet +, S+ C1898
C1352 Defibrillator, dual chamber, implantable, Gem II DR C1721
C1353 Neurostimulator, implantable, Itrel II/Soletra Implantable Neurostimulator and Extension, Itrel III Implantable Neurostimulator and Extension, InterStim Neurostimulator (implantable) and Extension NOTE: To appropriately bill for these devices, report three categories. The pulse generator should be reported with category code C1767, the neurostimulator lead should be reported with category code C1778, and the neurostimulator extension with category code C1883. C1767/ C1778/ C1883
C1353 NeuroControl Stim System NOTE: To appropriately bill for this device, report two categories. The pulse generator should be reported with category code C1767, and the neurostimulator lead should be reported with category code C1778. C1767/ C1778
C1354 Pacemaker, dual chamber, Kappa 400 DR, Diamond II 820 DR C1785
C1355 Pacemaker, dual chamber, Kappa 600 DR, Vita DR C1785
C1356 Defibrillator, single chamber, implantable, Profile MD V-186HV3 C1722
C1357 Defibrillator, single chamber, implantable, Angstrom MD V-190HV3 C1722
C1358 Pacemaker, dual chamber, non-rate responsive, Affinity DC 5230R, Affinity DC 5230 C2619
C1359 Pacemaker, dual chamber, Pulsar DR, Pulsar Max DR C1785
C1361 Recorder, cardiac event, implantable, Reveal, Reveal Plus C1764
C1362 Stent, biliary, RX HERCULINK 14 Biliary Stent, OTW MEGALINK SDS Biliary Stent C1877
C1363 Defibrillator, dual chamber, implantable, Gem DR, GEM III DR (model 7275) C1721
C1364 Defibrillator, dual chamber, Photon DR V-230HV C1721
C1365 Guide wire, peripheral, Hi-Torque SPARTACORE 14 Guide Wire, Hi-Torque MEMCORE FIRM 14 Guide Wire, Hi-Torque STEELCORE 18 Guide Wire, Hi-Torque STEELCORE 18 LT Guide Wire, Hi-Torque SUPRA CORE 35 Guide Wire, Doc Wire, Hi-Torque Extra Balance, Hi-Torque Extra S'port, Hi-Torque Extra Support, Hi-Torque Floppy II, Hi-Torque Intermediate, Hi-Torque Standard, Hi-Torque Traverse, TAD II Guide Wire System (145cm, 200cm, 260cm, 260cm, 300cm), TAD Guide Wire System (145cm), Wholey Hi-Torque Modified J Guide Wire System (145cm, 175cm, 260cm, 300cm), Wholey Hi-Torque Floppy Guide Wire System (145cm, 175cm, 260cm), Wholey Hi-Torque Standard Guide Wire System (145cm, 300cm), LOC Guide Wire Extension (115cm), Hobbs Medical Flex-EZ Guide Wire (models 3406, 3408, 3410, 3412, 3413) C1769
C1366 Guide wire, percutaneous transluminal coronary angioplasty, Hi-Torque Iron man, Hi-Torque Balance Middleweight, Hi-Torque All Star, Hi-Torque Balance Heavyweight, Hi-Torque Balance Trek C1769
C1367 Guide wire, percutaneous transluminal coronary angioplasty, Hi-Torque Cross It, Hi-Torque Cross-It 100XT, Hi-Torque Cross-It 200XT, Hi-Torque Cross-It 300 XT, Hi-Torque Wiggle C1769
C1369 Internal receiver, neurostimulation system, ANS Renew Spinal Cord Stimulator System, Medtronic Mattrix Receiver/Transmitter C1816
C1370 Single use device for treatment of female stress urinary incontinence, Tension-Free Vaginal Tape Single Use Device C2631
C1371 Stent, biliary, Symphony Nitinol Stent Transhepatic Biliary System, Nir Biliary Stent System C1876
C1372 Stent, biliary, Smart Cordis Nitinol Stent and Delivery System C1876
C1372 Stent, biliary, Cordis Smart .018 Nitinol Transhepatic Biliary Stent C1877
C1375 Stent, coronary, NIR ON Ranger Stent Delivery System, NIR w/Sox Stent System, NIR Primo Premounted Stent System C1876
C1376 Lead, neurostimulator, ANS Renew Spinal Cord Stimulation System Lead (with or without extension) C1778
C1377 Lead, neurostimulator, Specify 3998 Lead C1778
C1378 Lead, neurostimulator, InterStim Therapy 3080 Lead, InterStim Therapy 3886 Lead C1778
C1379 Lead, neurostimulator, Pisces-Quad Compact 3887 Lead C1778
C1420 Anchor system, TransFix Bone Anchor System with Dermis, StapleTac2 Bone Anchor System with Dermis, BioSorb FX System C1713
C1421 Anchor system, TransFix Bone Anchor System without Dermis, Staple Tac2 Bone Anchor System without Dermis C1713
C1450 Orthosphere Spherical Interpositional Arthroplasty C1776
C1451 Orthosphere Spherical Interpositional Arthroplasty Kit C1776
C1500 Atherectomy system, Rotablator Rotational Angioplasty System (with catheter, advancer, guide wire) NOTE: To appropriately bill for this system, report three categories. The catheter should be reported with category code C1724, the advancer (sheath) should be reported with category code C1894, and the guide wire with category code C1769. C1724/ C1894/ C1769
C1700 Needle, brachytherapy, Authentic Mick TP Brachytherapy Needle, Cook Urological Brachytherapy Needle C1715
C1701 Needle, brachytherapy, Medtec MT-BT-5201-25 Brachytherapy Needle , AVID Medical Metal Hub Pre-Load Style Brachytherapy Seeding Insertion Needle, AVID Medical Mick Style Bracytherapy Seeding Insertion Needle C1715
C1702 Needle, brachytherapy, WWMT Brachytherapy Needle, Nucletron Pancreas Flexible Brachytherapy Needle C1715
C1703 Needle, brachytherapy, Mentor Prostate Brachytherapy Needle C1715
C1704 Needle, brachytherapy, Medtec MT-BT-5001-25, MT-BT-5051-25 C1715
C1705 Needle, brachytherapy, Best Industries Flexi Needle Brachytherapy Seed Implantation (13G, 14G, 15G, 16G, 17G, 18G), Best Industries Prostate Brachytherapy Needle, Nycomed Amersham Mick Applicator Style Brachytherapy Needle, Nycomed Amersham Brachytherapy Needle C1715
C1706 Needle, brachytherapy, Indigo Prostate Seeding Needle C1715
C1707 Needle, brachytherapy, VariSource Interstitial Implant Needle C1715
C1708 Needle, brachytherapy, UroMed Prostate Seeding Needle C1715
C1709 Needle, brachytherapy, Remington Medical Brachytherapy Needle C1715
C1710 Needle, brachytherapy, US Biopsy Prostate Seeding Needle C1715
C1711 Needle, brachytherapy, MD Tech P.S.S. Prostate Seeding Set (needle) C1715
C1712 Needle, brachytherapy, Imagyn Medical Technologies IsoStar Prostate Brachytherapy Needle C1715
C1790 Brachytherapy seed, Nucletron Iridium 192 HDR, MDS Nordion Gamma Med Iridium-192 HDR Brachytherapy Seed C1717
C1790 Brachytherapy Seed, MDS Nordion TheraSphere (Yttrium-90) C2616
C1791 Brachytherapy seed, Nycomed Amersham I-125 (OncoSeed, Rapid Strand) C1718
C1792 Brachytherapy seed, UroMed Symmetra I-125 C1718
C1793 Brachytherapy seed, Bard InterSource-103 Palladium Seed, 1031L, 1031C, International Brachytherapy Intersource-103 (Palladium 103) C1720
C1794 Brachytherapy seed, Bard IsoSeed-103 Palladium Seed, Pd3S111L, Pd3S111P C1720
C1795 Brachytherapy seed, Bard BrachySource-125 Iodine Seed, 1251L, 1251C, International Brachytherapy InterSource-125 C1718
C1796 Brachytherapy seed, Source Tech Medical I-125 Seed Model STM 1251 C1718
C1797 Brachytherapy seed, Draximage I-125 Seed Model LS-1 C1718
C1798 Brachytherapy seed, Syncor I-125 PharmaSeed Model BT-125-1 C1718
C1799 Brachytherapy seed, I-Plant Iodine 125 Model 3500 C1718
C1800 Brachytherapy seed, Mentor PdGold Pd-103 C1720
C1801 Brachytherapy seed, Mentor IoGold I-125 C1718
C1802 Brachytherapy seed, Best Iridium 192, Best Dummy Ribbon Brachytherapy Seed (model 3 DR, 4 DR series, Iridium 192) C1719
C1803 Brachytherapy seed, Best Iodine 125 C1718
C1804 Brachytherapy seed, Best Palladium 103 C1720
C1805 Brachytherapy seed, IsoStar Iodine-125 Interstitial Brachytherapy Seed C1718
C1806 Brachytherapy seed, Best Gold 198 C1716
C1810 Catheter, balloon dilatation, D114S Over-the-Wire Balloon Dilatation Catheter C1725
C1811 Anchor, Surgical Dynamics Anchorsew, Surgical Dynamics S.D. sorb EZ TAC, Surgical Dynamics S.D. sorb Suture Anchor 2.0mm, Surgical Dynamics S.D. sorb Suture Anchor 3.0, Biomet Bone Mulch Screw, Biomet WasherLoc Screw and WasherLoc Washer, Wright Medical Technology Spin Snap-off Screw, Wright Medical Technology Bold Cannulated Titanium Compression Screw, Wright Medical Technology I.C.O.S. Ideal Compression Screw, Biomet Becton Colles' Fracture Plate, Biomet Repicci II Unicondylar Knee System, Wright Medical Technology OsteoSet Bone Graft Substitute (5cc, 10cc, 20cc, 50cc), Wright Medical Technology Uni-Clip Compression Staple, Depuy Ace Timax Calcaneal Peri-articular Plate, Depuy Ace Timax Pilon Plate, Depuy Ace Timax Meta Plate, Depuy Spider Plate, Depuy Total Elbow (Acclaim Elbow) C1713
C1811 Wright Medical Technology Swanson Finger Joint Implant with Grommets, Swanson Titanium Carpal Lunate Implant, Wright Medical Technology Swanson Basal Thumb Implant, Wright Medical Technology Swanson Titanium Carpal Scaphoid Implant, Wright Medical Technology Swanson Trapezium Implant, Wright Medical Technology Swanson Titanium Great Toe Implant, DePuy Neuflex PIP Finger, Depuy Neuflex MCP Finger Joint Prosthesis, Wright Medical Technology Hammertoe Implant (Swanson Type) Weil Design, Wright Medical Technology STA – PEG (Subtalar Arthrosis Implant - Smith Design) C1776
C1812 Anchor, OBL 2.0mm Mini Tac Anchor, OBL 2.8mm HS Anchor, OBL 2.8mm S Anchor, OBL 3.5mm Ti Anchor, OBL RC5 Anchor, OBL PRC5 Anchor, Arthrex Anterior Cruciate Ligament (ACL) Avulsion Lag Screw with Sheath, Arthrex Chrondral Dart, Arthrex Bio-Absorbable Corkscrew, Arthrex Bio-Fastak Suture Anchor, Arthrex Headed Bio-Absorbable Corkscrew, Arthrex Bio-Interference Screw, Arthrex Cannulated Interference Screw, Arthrex Suture Anchor Screw, Arthrex Fastak Suture Anchor, Arthrex Parachute Corkscrew Anchor, Arthrex TissueTak, Bionx Bankart Tack PLLA Implant, Bionx Cannulated SmartScrew PLLA Implant, Bionx Contour Labral Nail PLLA Implant, Bionx SmartNail PLLA Implant, Bionx SmartScrew PLLA Implant, Bionx SmartPin PLLA and PGA Implant, Bionx Wedge PLA Implant, Bionx Biocuff PLA Implant, Bionx Meniscus Arrow PLA Implant, Bionx SmartScrew ACL Interference Screw PLA Implant, Depuy Scarf Threaded-head Screw, Depuy Twist Off Screw, Depuy Rockwood Clavicle Pin, Depuy Scarf Threaded-head Screw (Millenium Screw) C1713
C1812 Medtronic XOMed EpiDisc Otologic Lamina (model 14-17000) C1763
C1850 Repliform Tissue Regeneration Matrix, per 14 or 21 square centimeters C1762
C1851 Repliform Tissue Regeneration Matrix, per 24 or 28 square centimeters C1762
C1853 Suspend Tutoplast Processed Fascia Lata, per 8 or 14 square centimeters C1762
C1854 Suspend Tutoplast Processed Fascia Lata, per 24 or 28 square centimeters C1762
C1855 Suspend Tutoplast Processed Fascia Lata, per 36 square centimeters C1762
C1856 Suspend Tutoplast Processed Fascia Lata, per 48 square centimeters C1762
C1857 Suspend Tutoplast Processed Fascia Lata, per 84 square centimeters C1762
C1858 DuraDerm Acellular Allograft, per 8 or 14 square centimeters C2631
C1859 DuraDerm Acellular Allograft, per 21, 24, or 28 square centimeters C2631
C1860 DuraDerm Acellular Allograft, per 48 square centimeters C2631
C1861 DuraDerm Acellular Allograft, per 36 square centimeters C2631
C1862 DuraDerm Acellular Allograft, per 72 square centimeters C2631
C1863 DuraDerm Acellular Allograft, per 84 square centimeters C2631
C1864 Bard Sperma Tex Mesh, per 13.44 square inches C1781
C1865 Bard FasLata Allograft Tissue, per 8 or 14 square centimeters C1762
C1866 Bard FasLata Allograft Tissue, per 24 or 28 square centimeters C1762
C1867 Bard FasLata Allograft Tissue, per 36 or 48 square centimeters C1762
C1868 Bard FasLata Allograft Tissue, per 96 square centimeters C1762
C1869 Gore Thyroplasty Device, per 8, 12, 30, or 37.5 square centimeters (0.6mm) C1878
C1870 DermMatrix Surgical Mesh, per 16 square centimeters C1781
C1871 DermMatrix Surgical Mesh, per 32 or 64 square centimeters C1781
C1873 Bard 3DMax Mesh, medium or large size C1781
C1929 Catheter, Maverick Monorail PTCA Catheter, Maverick Over-the-Wire PTCA Catheter C1725
C1930 Catheter, percutaneous transluminal coronary angioplasty, Coyote Dilatation Catheter 20mm/30mm/40mm C1725
C1931 Catheter, Talon Balloon Dilatation Catheter C1725
C1932 Catheter, SciMed Remedy Coronary Balloon Dilatation Infusion Catheter (20mm), Dispatch Coronary Infusion Catheter, Ultra Fuse 4mm, Ultra Fuse 8mm, Ultra Fuse-X, AngioDynamics Pulse Spray Infusion Catheter, AngioDynamics Unifuse Infusion Catheter, Merit Medical Systems Mistique Infusion Catheter C1725
C1932 Catheter, Cordis Regatta Flow Guided Infusion Catheter, Cordis Prowler Plus Microcatheter, Cordis Prowler Small Profile Infusion Microcatheter, Cordis MassTransit Max ID Microcatheter, Microcatheter Cordis Transit Microcatheter, Cordis RapidTransit Infusion Catheter, Cordis Plus Microcatheter C1887
C1932 Catheter, Cordis Commodore Temporary Occlusion Balloon Catheter C2628
C1933 Catheter, Opti-Plast Centurion 5.5F PTA Catheter (shaft length 50cm to 120cm), Opti-Plast XL 5.5F PTA Catheter (shaft length 75 cm to 120cm), Opti-Plast PTA Catheter (5.5 Fr), Tru Trac 5Fr Percutaneous Transluminal Angioplasty Balloon Dilatation Catheter, OptiPlast XT 5 Fr Percutaneous Transluminal Angioplasty Catheter (various sizes) C1725
C1934 Catheter, Ultraverse 3.5F Balloon Dilatation Catheter, Interventional Technologies Cutting Balloon C1725
C1935 Catheter, WorkHorse PTA Balloon Catheter C1725
C1936 Catheter, Uromax Ultra High Pressure Balloon Dilatation Catheters with Hydroplus Coating, UrethraMax High Pressure Urethral Balloon Dilatation Catheter, Carson Zero Tip Balloon Dilatation Catheters with HydroPlus Coating, Passport Balloon on a Wire Dilatation Catheters with HydroPlus Coating, Tandem Thin-Shaft Transureteroscopic Balloon Dilatation Catheter with Hydro Plus Coating, Trilogy Low Profile Balloon Dilatation Catheters with HydroPlus Coating, Ureteral Dilators with Hydro Plus Coating and Procedural Sheath, Amplatz Renal Dilator Set C1726
C1937 Catheter, Synergy Balloon Dilatation Catheter, Symmetry Small Vessel Balloon Dilatation Catheter with Glidex Hydrophilic Coating, Symmetry Stiff Shaft Small Vessel Balloon Dilatation Catheter with Glidex Hydrophilic Coating, XXL Large Balloon Dilatation Catheter C1725
C1937 Catheter, Explorer ST (6 Fr), Explorer 360 Jr., Explorer 360, Explorer ST C1730
C1938 Catheter, Bard UroForce Balloon Dilatation Catheter, Cook Urological Urodynamic Catheter C1726
C1939 Catheter, NinjaFX PTCA Dilatation Catheter, Raptor PTCA Dilatation Catheter, Ninja, NC Raptor PTCA Dilatation Catheter, Charger PTCA Dilatation Catheter, Titan PTCA Dilatation Catheter, Titan Mega PTCA Dilatation Catheter C1725
C1940 Catheter, Cordis PowerFlex Extreme PTA Balloon Catheter, Cordis PowerFlex Plus PTA Balloon Catheter, Cordis OPTA LP PTA Balloon Catheter, Cordis OPTA 5 PTA Balloon Catheter, Cordis PowerFlex P3 PTA Balloon Catheter C1725
C1941 Catheter, Jupiter PTA Balloon Dilatation Catheter, Cordis OPTA ProPTA Dilatation Catheter, Cordis SLALOM PTA Dilatation Catheter C1725
C1942 Catheter, Cordis Maxi LD PTA Balloon Catheter C1725
C1943 Catheter, RX CrossSail Coronary Dilatation Catheter, OTW OpenSail Coronary Dilatation Catheter C1725
C1944 Catheter, Maxforce Single-Use Biliary Balloon Dilatation Catheter, Rapid Exchange Single-Use Biliary Balloon Dilatation Catheter C1726
C1945 Catheter, Cordis Savvy PTA Dilatation Catheter C1725
C1946 Catheter, R1s Rapid Exchange Pre-Dilatation Balloon Catheter C1725
C1947 Catheter, Gazelle Balloon Dilatation Catheter C1725
C1948 Catheter, Pursuit Balloon Angioplasty Catheter, Cook Accent Balloon Angioplasty Catheter C1725
C1949 Catheter, Endosonics Oracle MegaSonics Five-64 F/X PTCA Catheter C1725
C1979 Catheter, Endosonics Visions PV 8.2F Intravascular Ultrasound Imaging Catheter, Endosonics Avanar F/X Intravascular Ultrasound Imaging Catheter C1753
C1980 Catheter, Atlantis SR Coronary Imaging Catheter C1753
C1981 Catheter, coronary angioplasty balloon, Adante, Bonnie, Bonnie 15mm, Bonnie Monorail 30mm or 40mm, Bonnie Sliding Rail, Bypass Speedy, Chubby, Chubby Sliding Rail, Coyote 20mm, Coyote 9/15/25mm, Maxxum, NC Ranger, NC Ranger 9mm, Ranger 20mm, Long Ranger 30mm or 40mm, NC Ranger 16/18mm, NC Ranger 22/25/30mm, NC Big Ranger, Quantum Ranger, Quantum Ranger 1/4 sizes, Quantum Ranger 9/16/18mm, Quantum Ranger 22/30mm, Quantum Ranger 25mm, Ranger LP 20/30/40, Viva/Long Viva, ACE—1cm, ACE—2 cm, ACE Graft, Long ACE, Pivot, Cobra (10, 14, 18, 30, 40mm in lengths) C1725

C2000

Catheter, Orbiter ST Steerable Electrode Catheter C1730
C2001 Catheter, Constellation Diagnostic Catheter C1731
C2002

Catheter, Irvine Inquiry Steerable Electrophysiology 5F Catheter, Livewire Steerable Electrophysiology Catheter

C1730

C2002

Catheter, Livewire EP Catheter 7 Fr Duo-Decapolar (model 401932)

C1731

C2002

Catheter, Marinr, RF Marinr MC

C1733

C2003

Catheter, Irvine Inquiry Steerable Electrophysiology 6F Catheter

C1730

C2004

Catheter, electrophysiology, BioSense Webster EP Deflectable Tip (Octapolar)

C1730

C2005

Catheter, electrophysiology, BioSense Webster EP Deflectable Tip Catheter (Hexapolar)

C1730

C2006

Catheter, electrophysiology, BioSense Webster EP Deflectable Tip Catheter (Decapolar)

C1730

C2007

Catheter, electrophysiology, Irvine Luma-Cath 6F Fixed Curve Electrophysiology Catheter, IBI-1000 Inquiry Fixed Curve EP Catheter (5 Fr), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Bipolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Decapolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Octapolar), IBI-1000 Inquiry Fixed Curve EP Catheter (6 Fr, Quadrapolar), Santoro Fixed Curve Catheter

C1730

C2007

Catheter, electrophysiology, Ismus Cath Deflectable 20-Pole Catheter/Crista Cath II Deflectable 20-Pole Catheter

C1731

C2008

Catheter, electrophysiology, Irvine Luma-Cath 7F Steerable Electrophysiology Catheter Model 81910, Model 81915, Model 81912

C1730

C2009

Catheter, electrophysiology, IrvineLuma-Cath 7F Steerable Electrophysiology Catheter Model 81920

C1730

C2010

Biosense Webster Fixed Curve Electrophysiology Catheter (Decapolar, Hexapolar, Octapolar, Quadrapolar)

C1730

C2011

Catheter, electrophysiology, Biosense Webster Deflectable Tip Catheter (Quadrapolar)

C1730

C2012

Catheter, ablation, Biosense Webster Celsius Braided Tip Ablation Catheter, Biosense Webster Celsius Long Reach Ablation Catheter

C1733

C2012

Catheter, ablation, Biosense Webster Celsius 5mm Temperature Ablation Catheter,

Biosense Webster Celsius Temperature Sensing Diagnostic/Ablation Tip Catheter

C2630

C2013

Catheter, ablation, Biosense Webster Celsius Large Dome Ablation Catheter

C1733

C2014

Catheter, ablation, Biosense Webster Celsius II Asymmetrical Ablation Catheter

C1733

C2015

Catheter, ablation, Biosense Webster Celsius II Symmetrical Ablation Catheter

C1733

C2016

Catheter, ablation, Navi-Star DS Diagnostic/Ablation Catheter

C1732

C2016

Catheter, ablation, Navi-Star Thermo-Cool Temperature Diagnostic/Ablation Catheter

C1732

C2017

Catheter, ablation, Navi-Star Diagnostic/Ablation Deflectable Tip Catheter

C1732

C2018

Catheter, ablation, Polaris DX, Polaris LE (7 Fr)

C1730

C2018

Catheter, ablation, Polaris T Ablation Catheter, Steerocath-T, Steerocath-A, MECA Ablation Catheter

C1733

C2019

Catheter, EP Medsystems Deflectable Electrophysiology Catheter

C1730

C2020

Catheter, ablation, Blazer II XP, Blazer II 6F, Blazer II High Torque Distal (HTD), Blazer II (7 Fr)

C1733

C2021

Catheter, EP SilverFlex Electrophysiology Catheter

C1730

C2022

Catheter, ablation, Cardiac Pathways Chilli Cooled Ablation Catheter Model 41422, 41442, 45422, 45442, 43422, 43442

C2630

C2023

Catheter, ablation, Cardiac Pathways Chilli Cooled Ablation Catheter, Standard ..Curve ( Model 3005), Large Curve (Model 3006)

C2630

C2100

Catheter, electrophysiology, Cardiac Pathways CS Reference Catheter, Boston Scientific Special Procedure Steero Dx Octa, Boston Scientific Map Pacing Catheter

C1730

C2101

Catheter, electrophysiology, Cardiac Pathways RV Reference Catheter, Boston Scientific EPT-Dx Steerable

C1730

C2102

Catheter, electrophysiology, Cardiac Pathways 7F Radii Catheter

C1730

C2103

Catheter, electrophysiology, Cardiac Pathways 7F Radii Catheter with Tracking, Boston Scientific Valve Mapper SteeroDx

C1730

C2104

Catheter, electrophysiology, Lasso Deflectable Circular Tip Mapping Catheter, Cardima Tracer Over-the-Wire Mapping Microcatheter, Cardima PathFinder Microcatheter, Cardima Revelation Microcatheter

C1730

C2151

Catheter, Veripath Peripheral Guiding Catheter

C1887

C2152

Catheter, Cordis 5F, 6F, 7F, 8F, 9F, 10F Vista Brite Tip Guiding Catheter, Cordis 0.056 Vista Brite Tip Guiding Catheter (5 Fr), Cordis Vista Brite Tip IG Introducer Guiding Catheter (7 Fr), Cordis Vista Brite Tip IG Introducer Guiding Catheter (8 Fr), Cordis Vista Brite Tip Supra-Aortic Guiding Catheter

(8 Fr), Cordis Vista Brite Tip Supra-Aortic Guiding Catheter (9 Fr), Cordis Envoy Large Lumen Guiding Catheter (5 Fr), Cordis Envoy Large Lumen Guiding Catheter (6 Fr)

C1887

C2153

Catheter, electrophysiology, Bard Viking Fixed Curve Catheter (Bipolar, Quadrapolar, ASP Models only)

C1730

C2200

Catheter, Arrow-Trerotola Percutaneous Thrombolytic Device Catheter

C1757

C2300

Catheter, Varisource Standard Catheter, Nucletron Nasopharyngeal Brachytherapy Catheter

C1728

C2597

Clinicath Peripherally Inserted Midline Catheter (PICC) Dual Lumen PolyFlow Polyurethane Catheter 18G (includes catheter and introducer), Clinicath Peripherally Inserted Central Catheter (PICC) Dual-Lumen PolyFlow Polyurethane 16/18G (includes catheter and introducer), CliniCath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane 16G (includes catheter and introducer), BDL Single-Lumen Polyurethane Midline Catheter (catheter and introducer only), Ethicon Endo-Surgery 18G/20G Single Lumen BIOVUE Midline Catheter Starter Set (catheter and introducer only), Ethicon Endo-Surgery 18G Dual Lumen BIOVUE Midline Catheter Starter Set (catheter and introducer only)

NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894.

C1751/

C1894

C2597

BD First MidCath Catheter (3 Fr, 4 Fr, 5 Fr, 20cm/4 Fr, 20cm/5 Fr), Dual Lumen Silicone Midline Catheter Dual Lumen Silicone Midline Catheter (5 Fr/5Fr, 20 cm), BDL Single-Lumen Polyurethane PICC, Bard Per-Q-Cath, Bard Per-Q-Cath Plus, Bard RadPICC, Bard Groshong Peripherally Inserted Central Catheter (PICC)

C1751

C2598

Catheter, Clinicath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 18G/ 20G/24G (catheter and introducer), Clinicath Peripherally Inserted Midline Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 20G/24G (catheter and introducer), 5Fr Dual Lumen Silicone PICC (catheter and introducer only), BDL 16G/18G/20G Dual-Lumen Cath Catheter (catheter and introducer only)

NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894.

C1751/

C1894

C2598

BD First PICC Catheter

C1751

C2599

Boston Scientific Vaxcel Peripherally Inserted Central Catheter (PICC), Cook Peripherally Inserted Central Venous Catheter

C1751

C2599

Clinicath Peripherally Inserted Central Catheter (PICC) Single-Lumen PolyFlow Polyurethane Catheter 16G/18G/19G (includes catheter and introducer), BD First PICC Catheter, 1.9 Fr, 2.8 Fr, 3 Fr, 4 Fr, 5 Fr Single-Lumen Silicone PICC (catheter and introducer only), Ethicon Endo-surgery 18G/20G/24G Single Lumen BIOVUE Peripherally Inserted Central Catheter Starter Set (catheter and introducer only), Ethicon Endo-surgery 16G/18G Dual Lumen BIOVUE Peripherally Inserted Central Catheter Starter Set (catheter and introducer only)

NOTE: To appropriately bill for the above pass-through devices, report two categories. The catheter should be reported with category code C1751 and the introducer/sheath should be reported with category code C1894.

C1751/

C1894

C2601

Catheter, Bard Dual Lumen Ureteral Catheter, Cook Urological Ureteral Dilatation Balloon, Flexima Ureteral Catheter, Axxcess Ureteral Catheter (6 Fr), C-Flex Ureteral Catheter, Dual Lumen Ureteral Catheter

C1758

C2602

Catheter, Spectranetics 1.4/1.7mm Vitesse Cos Concentric Laser Catheter, Spectranetics 0.9 mm Vitesse C Concentric Laser Catheter (model 110-003)

C1885

C2603

Catheter, Spectranetics 2.0mm Vitesse Concentric Laser Catheter

C1885

C2604

Catheter, Spectranetics 2.0mm Vitesse E Eccentric Laser Catheter

C1885

C2605

Catheter, Spectranetics Extreme Laser Catheter, Spectranetics Extreme 0.9mm Coronary Angioplasty Catheter (model 110-001)

C1885

C2605

Catheter, Spectranetics Extreme Laser Catheter

C1885

C2606

Catheter, Oratec SpineCath XL Intradiscal Catheter

C1754

C2607

Catheter, Oratec SpineCath Intradiscal Catheter

C1754

C2608

Catheter, Scimed 6F Wiseguide Guide Catheter, Cyber Guide Catheter, Merit Medical Systems Trax Interventional Guide Catheter (7 Fr), Merit Medical Systems Trax Cavern Interventional Guide Catheter (8 Fr), Mighty Max Guide Catheter (7 Fr), Triguide-Flex Guide Catheter (10 Fr)

C1887

C2609

Catheter, Flexima Biliary Drainage Catheter with Locking Pigtail, Flexima Biliary Drainage Catheter with Twist Loc Hub, Flexima Biliary Drainage Catheters with Temp Tip, AngioDynamics Abscession Biliary Drainage Catheter

C1729

C2610

Catheter, Arrow FlexTip Plus Intraspinal Catheter Kit

C1755

C2611

Catheter, Medtronic PS Medical AlgoLine Intraspinal Catheter System/Kit Models 81102, 81192

C1755

C2612

Catheter, Medtronic InDura Intraspinal Catheter, Myelotec Video Guided Catheter, EBI VueCath Steerable Spinal Catheter, Synchromed Vascular Catheter (models 8702, 8700A, 8700V)

C1755

C2700

Defibrillator, single chamber, implantable, MycroPhylax Plus

C1722

C2701

Defibrillator, single chamber, implantable, Phylax XM

C1722

C2702

Defibrillator, single chamber, implantable, Ventak Prizm 2 VR Model 1860

C1722

C2703

Defibrillator, single chamber, implantable, Ventak Prizm VR HE Models 1852, 1857

C1722

C2704

Defibrillator, single chamber, implantable, Ventak Mini IV+ Models 1793, 1796

C1722

C2801

Defibrillator, dual chamber, implantable, ELA Medical Defender IV DR Model 612

C1721

C2802

Defibrillator, dual chamber, implantable, Phylax AV

C1721

C2803

Defibrillator, dual chamber, implantable, Ventak Prizm DR HE Models 1853, 1858, Biotronik Tachos DR

C1721

C2804

Defibrillator, dual chamber, implantable, Ventak Prizm 2 DR Models 1861

C1721

C2805

Defibrillator, dual chamber, implantable, Jewel AF ( Model 7250)

C1721

C2806

Defibrillator, implantable, Gem VR Model 7227

C1722

C2807

Defibrillator, implantable, Contak CD Model 1823

C1882

C2808

Pacemaker, implantable, Contak TR Model 1241

NOTE: Contak TR Model 1241 was previously listed as “Defibrillator, implantable, Contak TR Model 1241" in Transmittal A-01-17. New information from the manufacturer indicates this is a pacemaker. The above descriptor reflects this change.

C2621

C3001

Lead, defibrillator, implantable, Kainox RV

C1777

C3001

Lead, defibrillator, implantable, Kainox SL

C1895

C3002

Lead, defibrillator, implantable, EasyTrak ( Models 4510, 4511, 4512, 4513)

C1899

C3003

Lead, defibrillator, implantable, Endotak Reliance S (models 0127, 0128, 0129)

C1777

C3003

Lead, defibrillator, implantable, Endotak Reliance (models 0147, 0148, 0149)

C1895

C3003

Lead, defibrillator, implantable, Endotak SQ Array XP ( Model 0085), Endotak SQ Array (models 0048, 0049), Endotak SQ Patch (models 0047, 0063)

C1896

C3004

Lead, defibrillator, implantable, Intervene ( Models 497-23, 497-24)

C1777

C3400

Prosthesis, breast, Mentor Saline-Filled Contour Profile, Mentor Siltex Spectrum Mammary Prosthesis, Mentor Siltex Gel-Filled Mammary Prosthesis, Smooth-Surface Gel-Filled Mammary Prosthesis, Mcghan Biodimensional Anatomical Tissue Expander Saline-Filled (BioSpan Textured, Style 133, 133FV, 133MV, 133LV), Mentor Tissue Expander, Mentor Contour Profile Tissue Expander, Mentor Siltex Becker Expander/Mammary Prosthesis

C1789

C3401

Prosthesis, breast, Mentor Saline-Filled Spectrum, Mcghan BioCurve Round, BioCell Textured, Saline-Filled Moderate Profile (Style 168), Mcghan BioCurve Round, Smooth Saline-Filled Moderate Profile (Style 68), Mcghan Biodimensional BioCurve Shaped (BioCell Textured Full Height, Saline Filled, Style 163), Mcghan Breast Implant Smooth Silicone-Filled Intrashiel Barrier (Moderate Profile, Round, Style 110), Mcghan BioCell Textured Silicone-Filled Intrashiel Barrier (Standard Profile, Round, Style 40)

C1789

C3500

Prosthesis, penile, Mentor Alpha I Inflatable Penile Prosthesis, Mentor Alpha I Narrow-Base Inflatable Penile Prosthesis

C1813

C3500

Prosthesis, penile, Mentor Acu-Form Malleable Penile Prosthesis, Mentor Malleable Penile Prosthesis

C2622

C3510

Prosthesis, AMS Sphincter 800 Urinary Prosthesis

C1815

C3551

Guide wire, percutaneous transluminal coronary angioplasty, Choice, Luge, Patriot, PT Graphix Intermediate, Trooper, Mailman 182/300 cm, Glidewire Gold Guidewire, Platinum Plus Guidewire, Platinum Plus Guidewire with Glidex Hydrophilic Coating, Jagwire Single-Use High Performance Guide Wire, Merit Medical Systems Extender Guidewire, Merit Medical Systems Tomcat PTCA Guidewire, Platinum Plus Guide Wire (0.014 and 0.018 in diameters)

C1769

C3552

Guide wire, Hi-Torque Whisper, Zebra Single-Use Exchange Guidewire

C1769

C3553

Guide wire, Cordis Stabilizer Marker Wire Steerable Guidewire, Cordis Wizdom Marker Wire Steerable Guidewire, Cordis ATW Marker Wire Steerable Guidewire, Cordis Shinobi Steerable Guidewire, Cordis ATW Steerable Guidewire, Cordis Cinch QR Steerable Guidewire Extension, Cordis Stor Q Guidewire, Cordis Essence Steerable Guidewire, Cordis Instinct Steerable Guidewire, Cordis Agility 10 Hydrophilic Steerable Guidewire, Cordis Agility 14 Hydrophilic Steerable Guidewire, Cordis Stabilizer Balanced Performance Guidewire, Cordis Stabilizer Plus Steerable Guidewire, Cordis Shinobi Plus Steerable Guidewire (models 547-214, 547-214X), Cordis Stabilizer XS Steerable Guidewire (models 527-914, 527-914J, 527-914X, 527-914Y), Cordis SV Guidewire--5cm Distal Taper Configuration (models 503-558, 503-558X), 8cm Distal Taper Configuration (models 503-658, 503-658X), 14cm Distal Taper Configuration (models 503-758, 503-758X), Cordis Wisdom ST Steerable Guidewire (models 537-114, 537-114J, 537-114X, 537-114Y)

C1769

C3554

Guide wire, Jindo Tapered Peripheral Guidewire

C1769

C3555

Guide wire, Wholey Hi-Torque Plus Guide Wire System, 145cm, 190cm, 300cm

C1769

C3556

Guide wire, Endosonics Cardiometrics WaveWire Pressure Guide Wire, Cardiometrics FloWire Doppler Guide Wire, Radi Pressure Wire 3 Sensor

C1769

C3557

Guidewire, HyTek Guidewire, Biotronik Galeo Hydro Guide Wire, Microvena Ultra Select Nitinol Guidewire, Wilson-Cook Axcess 21 Wire Guide, Wilson-Cook Roadrunner Extra Support Wire Guide, Wilson-Cook Tracer Wire Guide, Wilson-Cook Tracer Hybrid Wire Guide, Wilson-Cook Tracer Metro Wire Guide, Wilson-Cook Protector Wire Guides

C1769

C3800

Infusion pump, implantable, programmable, SynchroMed EL Infusion Pump, SynchroMed Infusion Pump

C1772

C3801

Infusion pump, Arrow/MicroJect PCA System

C2626

C3851

Intraocular lens, Elastic Ultraviolet-Absorbing Silicone Posterior Chamber Intraocular Lens with Toric Optic Model AA-4203T, Model AA-4203TF, Model AA-4203TL

C1780

C4000

Pacemaker, single chamber, ELA Medical Opus G Model 4621, 4624

C1786

C4001

Pacemaker, single chamber, ELA Medical Opus S Model 4121, 4124

C1786

C4002

Pacemaker, single chamber, ELA Medical Talent Model 113

C1786

C4003

Pacemaker, single chamber, Kairos SR

C1786

C4004

Pacemaker, single chamber, Actros SR+, Actros SR-B+

C1786

C4005

Pacemaker, single chamber, Philos SR, Philos SR-B

C1786

C4006

Pacemaker, single chamber, Pulsar Max II SR 1180, 1181

C1786

C4007

Pacemaker, single chamber, Marathon SR 291-09, 292-09R, 292-09X

C1786

C4008

Pacemaker, single chamber, Discovery II SSI 481

C2620

C4009

Pacemaker, single chamber, Discovery II SR 1184, 1185, 1186, 1187

C1786

C4300

Pacemaker, dual chamber, Integrity AFx DR Model 5342, Integrity U DR 5336

C1785

C4301

Pacemaker, dual chamber, Integrity AFx DR Model 5346

C1785

C4302

Pacemaker, dual chamber, Affinity VDR 5430

C1785

C4303

Pacemaker, dual chamber, ELA Brio Model 112 Pacemaker System

C1785

C4304

Pacemaker, dual chamber, ELA Medical Brio Model 212, Talent Model 213, Talent Model 223

C1785

C4305

Pacemaker, dual chamber, ELA Medical Brio Model 222

C1785

C4306

Pacemaker, dual chamber, ELA Medical Brio Model 220

C1785

C4307

Pacemaker, dual chamber, Kairos DR

C1785

C4308

Pacemaker, dual chamber, Inos2, Inos 2+

C1785

C4309

Pacemaker, dual chamber, Actros DR+, Actros D+, Actros DR-A+, Actros SLR+

C1785

C4310

Pacemaker, dual chamber, Actros DR-B+

C1785

C4311

Pacemaker, dual chamber, Philos DR, Philos DR-B, Philos SLR

C1785

C4312

Pacemaker, dual chamber, Pulsar Max II DR 1280

C1785

C4313

Pacemaker, dual chamber, Marathon DR 293-09, 294-09, 294-09R, 294-10

C1785

C4314

Pacemaker, dual chamber, Momentum DR 294-23

C1785

C4315

Pacemaker, dual chamber, Selection AFm 902 SLC 902C

C1785

C4316

Pacemaker, dual chamber, Discovery II DR 1283, 1284, 1285, 1286

C1785

C4317

Pacemaker, dual chamber, Discovery II DDD 981

C2619

C4600

Lead, pacemaker, SL-BP

C1779

C4600

Lead, pacemaker, Synox, Polyrox, Elox, Retrox, ELC, PR-B Permanent Implantable Pacing Lead (models PR 44 B, PR 48 B, PR 52 B, PR 58 B), PR-S Permanent Implantable Pacing Lead (models PR 44 S, PR 48 S, PR 52 S, PR 58 S), PY-PSBV Permanent Implantable Pacing Lead (models PY 44 PSBV, PY 48 PSBV, PY 52 PSBV, PY 58 PSBV), PY-PV Permanent Implantable Pacing Lead (models PY 48 PV, PY 52 PV, PY 58 PV), ZY-PBV Permanent Implantable Pacing Lead (models ZY 52 PBV, ZY 58 PBV), ZY-PJBV Permanent Implantable Pacing Lead (models ZY 48 PJBV, ZY 52 PJBV), ZY-PJUSBV Permanent Implantable Pacing Lead (models ZY 44 PJUSBV, ZY 48 PJUSBV, ZY 52 PJUSBV), ZY-PJUV Permanent Implantable Pacing Lead (models ZY 48 PJUV, ZY 52 PJUV), ZY-PJV Permanent Implantable Pacing Lead (models ZY 48 PJV, ZY 52 PJV), ZY-PUSBV Permanent Implantable Pacing Lead (models ZY 52 PUSBV, ZY 58 PUSBV), ZY-PUV Permanent Implantable Pacing Lead (models ZY 52 PUV, ZY 58 PUV), ZY-PV Permanent Implantable Pacing Lead (models ZY 52 PV, ZY 58 PV)

C1898

C4602

Lead, pacemaker, Tendril SDX 1488K/46, Tendril SDX 1488K/52, Tendril SDX 1488K/58

C1898

C4603

Lead, pacemaker, Oscor PR 4015, 4016, 4017, 4018, Flexion 4015, 4016, 4017, 4018, ELA Medical Stela Pacing Lead (models BJ44, BJ45), ELA Medical Stelid II Pacing Lead (model BTFR26D), ELA Medical Stelix Pacing Lead (model BR45D), HT-PB Permanent Implantable Pacing Lead (models HT 48 PB, HT 52 PB, HT 58 PB), HT-PB Permanent Implantable Pacing Lead (models HT 48 PB, HT 52 PB, HT 58 PB), Oscor PY (models 4439, 4440, 4441), Oscor ZY (models 4036, 4037, 4038, 4039, 4042, 4056, 4057), RT-TJV Permanent Implantable Pacing Lead (models RT 48 TJV, RT 52 TJV), RT-TV Permanent Implantable Pacing Lead (models RT 52 TV, RT 58 TV), RU-TBV Permanent Implantable Pacing Lead (models RU 52 TBV, TU 58 TBV, RU 70 TBV), RU-TJSBV Permanent Implantable Pacing Lead (models RU 44 TJSBV, RU 48 TJSBV, RU 52 TJSBV), RU-TJV Permanent Implantable Pacing Lead (models RU 48 TJV, RU 52 TJV), RU-TSBV Permanent Implantable Pacing Lead (models RU 52 TSBV, RU 58 TSBV, RU 70 TSBV), RU-TV Permanent Implantable Pacing Lead (models RU 52 TV, RU 58 TV), KY-SBV Oscor Permanent Implantable Pacing Lead (KY-48 SBV, KY 52 SBV, KY 58 SBV), KY-USBV Oscor Permanent Implantable Pacing Lead (KY 48 USBV, KY 52 USBV, KY 58 USBV, KY 70 USBV), KY-UV Oscor Permanent Implantable Pacing Lead (KY 48 UV, KY 52 UV, KY 58 UV, KY 70 UV), KY-V Oscor Permanent Implantable Pacing Lead (KY 48 V, KY 52 V, KY 58 V, KY 70 V)

C1898

C4604

Lead, pacemaker, Crystalline ActFix ICF09, CapsureFix Novus 5076

C1898

C4605

Lead, pacemaker, CapSure Epi 4968

C1898

C4606

Lead, pacemaker, Flextend 4080, 4081, 4082

C1898

C4607

Lead, pacemaker, Fineline II 4452, 4453, 4454, 4455, 4477, 4478, Fineline II EZ 4463, 4464, 4465, 4466, 4467, 4468, Thinline II 430-25, 430-35, 432-35, Thinline II EZ 438-25, 438-35, Fineline II EZ Sterox (models 4469, 4470, 4471, 4472, 4473, 4474), Fineline II Sterox (models 4456, 4457, 4458, 4459, 4479, 4480), Thinline II EZ Sterox (models 438-25S, 438-35S), Thinline II Sterox (models 430-25S, 430-35S, 432-35S)

C1898

C5000

Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (28 or 33mm in length)

C1874

C5001

Stent, biliary, Bard Memotherm-Flex Biliary Stent, small/medium diameter

C1877

C5002

Stent, biliary, Bard Memotherm-Flex Biliary Stent, large diameter

C1877

C5003

Stent, biliary, Bard Memotherm-Flex Biliary Stent, x-large diameter

C1877

C5004

Stent, biliary, Cordis Palmaz Corinthian IQ Transhepatic Biliary Stent

C1877

C5005

Stent, biliary, Cordis Palmaz Corinthian IQ Transhepatic Biliary Stent and Delivery System

C1876

C5006

Stent, biliary, Cordis Medium Palmaz Transhepatic Biliary Stent and Delivery System

C1876

C5007

Stent, biliary, Cordis Palmaz XL Transhepatic Biliary Stent (40mm length)

C1877

C5008

Stent, biliary, Cordis Palmaz XL Transhepatic Biliary Stent (50mm length)

C1877

C5009

Stent, biliary, Biliary VistaFlex Stent

C1877

C5010

Stent, biliary, Rapid Exchange Single-Use Biliary Stent System

C2625

C5011

Stent, biliary, IntraStent, IntraStent LP, Wilson-Cook ST2 Soehendra Tannenbaum

C1877

C5012

Stent, biliary, IntraStent DoubleStrut LD, IntraStent Double Strut Para Mount Biliary Stent, Olympus Double Layer Biliary Stent

C1877

C5013

Stent, biliary, IntraStent DoubleStrut, IntraStent DoubleStrut XS

C1877

C5014

Stent, biliary, Medtronic AVE Bridge Stent System--Biliary Indication (10mm, 17mm, 28mm)

C1876

C5015

Stent, biliary, Medtronic AVE Bridge Stent System--Biliary Indication (40mm-60mm, 80-100mm), Medtronic AVE Bridge X3 Biliary Stent System (17mm)

C1876

C5016

Stent, biliary, Wallstent Single-Use Covered Biliary Endoprosthesis with Unistep Plus Delivery System, Gore Biliary Endoprosthesis

C1876

C5017

Stent, biliary, Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System (20/40/42/60/68 mm in length)

C1876

C5018

Stent, biliary, Wallstent RP Biliary Endoprosthesis with Unistep Plus Delivery System (80/94 mm in length)

C1876

C5019

Stent, biliary, Flexima Single Use Biliary Stent System

C2625

C5020

Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (20mm in length)

C1876

C5021

Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (40 or 60 mm in length)

C1876

C5022

Stent, biliary, Cordis Smart Nitinol Stent Transhepatic Biliary System (80mm in length)

C1876

C5023

Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (8 or 13mm in length)

C1876

C5024

Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (18mm in length)

C1876

C5025

Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (23mm in length)

C1876

C5026

Stent, biliary, BX Velocity Transhepatic Biliary Stent and Delivery System (28 or 33mm in length)

C1876

C5027

Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (8 or 13mm in length), BX Velocity e.5/5.0 Balloon Expandable Stent with RAPTOR Over-the-Wire Delivery System

C1874

C5028

Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (18mm in length)

C1874

C5029

Stent, coronary, BX Velocity with Hepacoat on Raptor Stent System (23mm in length)

C1874

C5030

Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System (9mm, 12mm), S660 with Discrete Technology Rapid Exchange Coronary Stent System (9mm, 12mm), BiodivYsio AS PC Coated Coronary Stent Delivery System (11mm)

C1876

C5031

Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System (15mm, 18mm), S60 with Discrete Technology Rapid Exchange Coronary Stent System (15mm, 18mm), BiodivYsio AS PC Coated Coronary Stent Delivery System (15mm)

C1876

C5032

Stent, coronary, S660 with Discrete Technology Over-the-Wire Coronary Stent System 24mm, 30mm, S660 with Discrete Technology Rapid Exchange Coronary Stent System 24mm, 30mm

C1876

C5033

Stent, coronary, Niroyal Advance Premounted Stent System (9mm), Tenax-XR Stent and Delivery system

C1876

C5034

Stent, coronary, Niroyal Advance Premounted Stent System (12mm, 15mm)

C1876

C5035

Stent, coronary, Niroyal Advance Premounted Stent System (18mm)

C1876

C5036

Stent, coronary, Niroyal Advance Premounted Stent System (25mm)

C1876

C5037

Stent, coronary, Niroyal Advance Premounted Stent System (31mm)

C1876

C5038

Stent, coronary, BX Velocity Balloon-Expandable Stent with Raptor Over-the-Wire Delivery System

C1876

C5039

Stent, peripheral, IntraCoil Peripheral Stent (40mm stent length

C1877

C5039

Stent, Dynalink Biliary Self-Expanding Stent System

C1876

C5040

Stent, peripheral, IntraCoil Peripheral Stent (60mm stent length)

C1877

C5041

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (24mm, 30mm), Medtronic BeStent 2 Rapid Exchange Coronary Stent System (24mm, 30mm)

C1876

C5042

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (18mm), Medtronic BeStent 2 Rapid Exchange (18mm)

C1876

C5042

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (18mm)

C1876

C5043

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (15mm), Medtronic BeStent 2 Rapid Exchange (15mm)

C1876

C5043

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (15mm)

C1876

C5044

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (9mm, 12mm), Medtronic BeStent 2 Rapid Exchange Coronary Stent System (9mm, 12mm)

C1876

C5044

Stent, coronary, Medtronic BeStent 2 Over-the-Wire Coronary Stent System (9mm, 12mm)

C1876

C5045

Stent, coronary, Multilink Tetra Coronary Stent System

C1876

C5046

Stent, coronary, Radius 20mm Self Expanding Stent with Over the Wire Delivery System

C1876

C5047

Stent, coronary, Niroyal Elite Premounted Stent System (15mm, 25mm, 31mm)

C1876

C5048

Stent, coronary, GR II Coronary Stent

C1877

C5130

Stent, colon, Wilson-Cook Colonic Z-Stent

C1877

C5131

Stent, colorectal, Bard Memotherm Colorectal Stent Models30R060

C1877

C5132

Stent, colorectal, Bard Memotherm Colorectal Stent Models30R080

C1877

C5133

Stent, colorectal, Bard Memotherm Colorectal Stent Models30R100

C1877

C5134

Stent, enteral, Wallstent Enteral Endoprosthesis and Unistep Delivery System (90mm in length), Wallstent RP Enteral Endoprosthesis and Unistep Delivery System (90mm in length)

C1876

C5279

Stent, ureteral, Boston Scientific Contour Soft Percuflex Stent with Hydroplus Coating (Braided), Contour Soft Percuflex Stent with Hydroplus Coating, Contour VL Variable Length Percuflex Stent with Hydroplus Coating, Percuflex Plus Stent with Hydroplus Coating, Percuflex Stent (Braided), Contour Closed Soft Percuflex Stent with HydroPlus Coating, Contour Injection Soft Percuflex Stent with HydroPlus Coating, Soft Percuflex Stent, Percuflex Tail Plus Tapered Ureteral Stent, Contour Polaris Ureteral Stent with Hydroplus Coating, Mardis Firm Stent with HydroPlus Coating, Mardis Soft Stent with HydroPlus Coating, Mardis Soft Variable Length Stent with HydroPlus Coating, Nottingham One-Step Tapered Dilators with HydroPlus Coating, Stretch VL Variable Length Flexima Stent with HydroPlus Coating, Percuflex Urinary Diversion Stent

C2617

C5280

Stent, ureteral, Bard Inlay Double Pigtail Ureteral Stent, Circon Surgitek Classic Double Pigtail Ureteral Stent, Circon Surgitek Classic Double Pigtail Hydrophilic Coated Ureteral Stent, Circon Surgitek QuadraCoil Ureteral Stent, Circon Surgitek Double J II Ureteral Stent, Circon Surgitek Lithostent Ureteral Stent, Circon Surgitek Soft-Curl Ureteral Stent, Cook Urological LSe Double Pigtail Ureteral Stent, Cook Urological LSe Multi Length Ureteral Stent, Cook Urological Multi Length Ureteral Stent, Cook Urological Double Pigtail Ureteral Stent, Cook Urological Double Pigtail Ureteral Stent with AQ (Hydrophilic) Coating, Cook Urological Mazer Antegrade Double Pigtail Ureteral Stent Set

C2617

C5280

Cook Urological Cystostomy Catheter, Cook Urological Ureteral Dilator Set, Cook Urological Fascial Dilator Set

C2627

C5281

Stent, tracheobronchial, Wallgraft Tracheobronchial Endoprosthesis with Unistep Delivery System (70mm in length)

C1876

C5282

Stent, tracheobronchial, Wallgraft Tracheobronchial Endoprosthesis with Unistep Delivery System (20mm, 30mm, 50mm in length)

C1876

C5283

Wallstent Transjugular Intrahepatic Portosystemic Shunt (TIPS) with Unistep Plus Delivery System (94 mm in length), Wallstent RP TIPS Endoprosthesis with Unistep Plus Delivery System (94 mm in length)

C1876

C5284

Stent, tracheobronchial, UltraFlex Tracheobronchial Endoprothesis (covered) and the Unistep Plus Delivery System

C1874

C5284

Stent, tracheobronchial, UltraFlex Tracheobronchial Endoprosthesis (non-covered) and the Unistep Plus Delivery System

C1876

C5600

Vascular Closure Device, VasoSeal ES (Extravascular Security) Device, VasoSeal Vascular Hemostasis Device

C1760

C5601

Vascular closure device, Vascular Solutions Duett Sealing Device 1000

C1760

C6001

Mesh, hernia, Bard Composix Mesh, per 8 or 21 inches, Atrium Hernia/Surgical Mesh, Bard Composix E/X Mesh, Bard Kugel Hernia Patch (large circle, 12 cm x 12 cm), Bard Kugel Hernia Patch (small circle, 8 cm x 8 cm), Bard Kugel Hernia Patch (large oval, 14 cm x 18 cm), Bard Kugel Hernia Patch (medium oval, 11 cm x 14 cm), Bard Kugel Hernia Patch (small oval, 8 cm x 12 cm), Bard Mesh PerFix Plug, Bard Visilex Mesh (3 in x 6 in), Bard Visilex Mesh (4.5 in x 6 in)

C1781

C6002

Mesh, hernia, Bard Composix Mesh, per 32 inches

C1781

C6003

Mesh, hernia, Bard Composix Mesh, per 48 inches

C1781

C6004

Mesh, hernia, Bard Composix Mesh, per 80 inches

C1781

C6005

Mesh, hernia, Bard Composix Mesh, per 140 inches

C1781

C6006

Mesh, hernia, Bard Composix Mesh, per 144 inches

C1781

C6012

Pelvicol Acellular Collagen Matrix, per 8 or 14 square centimeters

C1763

C6012

Contigen Bard Collagen Implant (Contigen Implant)

C2631

C6013

Pelvicol Acellular Collagen Matrix, per 21, 24, or 28 square centimeters

C1763

C6014

Pelvicol Acellular Collagen Matrix, per 40square centimeters

C1763

C6015

Pelvicol Acellular Collagen Matrix, per 48 square centimeters

C1763

C6016

Pelvicol Acellular Collagen Matrix, per 96 square centimeters

C1763

C6017

Gore-Tex DualMesh Biomaterial, per 75 or 96 square centimeters (1mm thick)

C1781

C6018

Gore-Tex DualMesh Biomaterial, per 150 square centimeters oval shaped (1mm thick)

C1781

C6019

Gore-Tex DualMesh Biomaterial, per 285 square centimeters oval shaped (1mm thick)

C1781

C6020

Gore-Tex DualMesh Biomaterial, per 432 square centimeters (1mm thick)

C1781

C6021

Gore-Tex DualMesh Biomaterial, per 600 square centimeters (1mm thick)

C1781

C6022

Gore-Tex DualMesh Biomaterial, per 884 square centimeters oval shaped (1mm thick)

C1781

C6023

Gore-Tex DualMesh Plus Biomaterial, per 75 square centimeters (1mm thick), Gore-Tex DualMesh Plus Biomaterial, per 96 square centimeters (1mm thick)

C1781

C6024

Gore-Tex DualMesh Plus Biomaterial, per 150 square centimeters oval shaped (1mm thick)

C1781

C6025

Gore-Tex DualMesh Plus Biomaterial, per 285 square centimeters oval shaped (1mm thick)

C1781

C6026

Gore-Tex DualMesh Plus Biomaterial, per 432 square centimeters (1mm thick)

C1781

C6027

Gore-Tex DualMesh Plus Biomaterial, per 600 square centimeters (1mm thick)

C1781

C6028

Gore-Tex DualMesh Plus Biomaterial, per 884 square centimeters oval shaped (1mm thick)

C1781

C6029

Gore-Tex DualMesh Plus Biomaterial, per 150 square centimeters oval shaped (2mm thick)

C1781

C6030

Gore-Tex DualMesh Plus Biomaterial, per 285 square centimeters oval shaped (2mm thick)

C1781

C6031

Gore-Tex DualMesh Plus Biomaterial, per 432 square centimeters (2mm thick)

C1781

C6032

Gore-Tex DualMesh Plus Biomaterial, per 600 square centimeters (2mm thick)

C1781

C6033

Gore-Tex DualMesh Plus Biomaterial, per 884 square centimeters (2mm thick)

C1781

C6034

Bard Reconix ePTFE Reconstruction Patch 150 square centimeters (2mm thick)

C1781

C6035

Bard Reconix ePTFE Reconstruction Patch 150 square centimeters (1mm thick), 75 square centimeters (2mm thick)

C1781

C6036

Bard Reconix ePTFE Reconstruction Patch 50 or 75 square centimeters (1mm thick), 50 square centimeters (2mm thick)

C1781

C6037

Bard Reconix ePTFE Reconstruction Patch 300 square centimeters (1 mm thick)

C1781

C6038

Bard Reconix ePTFE Reconstruction Patch 600 square centimeters (1mm thick),

300 square centimeters (2mm thick)

C1781

C6039

Bard Reconix ePTFE Reconstruction Patch 884 square centimeters oval shaped (1mm thick)

C1781

C6040

Bard Reconix ePTFE Reconstruction Patch 600 square centimeters (2mm thick)

C1781

C6041

Bard Reconix ePTFE Reconstruction Patch 884 square centimeters oval shaped (2mm thick)

C1781

C6050

Sling fixation system for treatment of stress urinary incontinence, Female In-Fast Sling Fixation System with Electric Inserter with Sling Material

C1771

C6050

Sling fixation system for treatment of stress urinary incontinence, Female In-Fast Sling Fixation System with Electric Inserter without Sling Material, Advanced UroScience Acyst

C2631

C6051

DePuy Orthotech Restore, Stratasis Urethral Sling, 20/40 cm

C1763

C6052

Stratasis Urethral Sling, 60 cm

C1763

C6053

Surgisis Soft Tissue Graft, per 70cm, 105cm, 140cm

C1763

C6054

Surgisis Enhanced Strength Soft Tissue Graft, per 4.2cm, 20cm, 28cm, 40cm

C1763

C6055

Surgisis Enhanced Strength Soft Tissue Graft, per 52.5cm, 60cm, 70cm

C1763

C6056

Surgisis Enhanced Strength Soft Tissue Graft, per 105cm, 140cm

C1763

C6057

Surgisis Hernia Graft, per 195cm

C1763

C6058

SurgiPro Hernia-Mate Plug, medium or large

C1781

C6080

Sling fixation system for treatment of stress urinary incontinence, AMS Male InVance Fixation System with Electric Inserter with Sling Material and Disposable Pressure Sensor, Male Straight-In Fixation System with Electric Inserter with Sling Material and Disposable Pressure Sensor

C1771

C6080

Sling fixation system for treatment of stress urinary incontinence, AMS Male InVance Fixation System with Electric Inserter without Sling Material and Disposable Pressure Sensor, Male Straight-In Fixation System with Electric Inserter without Sling Material and Disposable Pressure Sensor

C2631

C6200

Vascular graft, Exxcel Soft ePTFE Vascular Graft, Exxcel ePTFE Vascular Graft

(6mm or greater in diameter)

C1768

C6200

Vena cava filter, B. Braun Vena Tech LGM Vena Cava Filter (Dual Approach--model # 31328, Jugular Approach—model # 31326, Femoral Approach--model # 31327), Cordis TrapEase Permanent Vena Cava Filter, Stainless Steel Green Field Vena Cava Filter with 12 Fr Introducer System

C1880

C6201

Vascular graft, Impra Venaflo Vascular Graft with Carbon (Straight Graft, 10cm or 20cm in length), Atrium Hybrid PTFE Vascular Graft

C1768

C6202

Vascular graft, Impra Venaflo Vascular Graft with Carbon, Straight Graft, 30cm or 40cm in length

C1768

C6203

Vascular graft, Impra Venaflo Vascular Graft with Carbon, Straight Graft (50cm in length) or CenterFlex Venaflo Stepped Graft (45cm in length)

C1768

C6204

Vascular graft, Impra Venaflo Vascular Graft with Carbon, Stepped Graft, 20cm, 25cm, 30cm, 35cm, 40cm, or 45cm in length

C1768

C6205

Vascular graft, Impra Carboflo Vascular Graft (Straight Graft, 10 cm in length), Atrium Advanta PTFE Vascular Graft

C1768

C6206

Vascular graft, Impra Carboflo Vascular Graft, Straight Graft, 20 cm in length

C1768

C6207

Vascular graft, Impra Carboflo Vascular Graft, Straight Graft, 30 cm, 35cm, or 40cm in length

C1768

C6208

Vascular graft, Impra Carboflo Vascular Graft, Straight Graft (50cm in length), Access Tapered Graft (40cm in length), or Stepped Graft (45 or 50 cm in length)

C1768

C6209

Vascular graft, Impra Carboflo Vascular Graft, CenterFlex Straight Graft (40cm or 50cm in length) or CenterFlex Stepped Graft (40cm, 45cm or 50 cm in length)

C1768

C6210

Exxcel ePTFE Vascular Graft (less than 6mm in diameter), Hemashield Woven Double Velour Fabric, Hemashield Finesse Ultra-thin, Knitted Cardiovascular Patch

C1768

C6500

Sheath, guiding, Preface Braided Guiding Sheath (anterior curve, multipurpose curve, posterior curve)

C1893

C6501

Sheath, Soft Tip Sheaths

C1893

C6502

Sheath, electrophysiology, Perry Exchange Dilator

C1893

C6525

Sheath, Spectranetics Laser Sheath 500-001, 500-012, 500-013

C2629

C6650

Introducer, guiding, Fast-Cath Two-Piece Guiding Introducer (models 406869, 406892, 406893, 406904), Fast-Cath Duo SL1 Guiding Introducer, Fast-Cath Duo SL2 Guiding Introducer

C1893

C6650 Introducer, Fast-Cath Hemostasis Introducer, Maximum Hemostasis Introducer, AccuStick II with RO Marker Introducer System, Cook Extra Large Check-Flo Introducer, Cook Keller-Timmermans Introducer C1894
C6651 Introducer, guiding, Seal-Away CS Guiding Introducer 407508, 407510 C1892
C6652 Introducer, Bard Safety Excalibur Introducer, Bard Radstic Microintroducer, Bard Universal Microintroducer C1894
C6700 Perfluoron (per 2ml vial, 5ml vial, or 7ml vial) C1784
C6700 Synthetic absorbable sealant, Focal Seal-L C2615
C8099 Spectranetics Lead Locking Device (models 518-018, 518-019, 518-020) C1773
C8099 Oscor C/VS Permanent Implantable Pacing Lead Adaptor (models C/VS-10, C/VS-40), Oscor M/VS Permanent Implantable Pacing Lead Adaptor (models M/VS-10, M/VS-40), Oscor VS/M Permanent Implantable Pacing Lead Adaptor (model VS/M-10), Oscor VV Permanent Implantable Pacing Lead Extension (models VV-10, VV-40), Oscor C/VS Permanent Implantable Pacing Lead Extension (VKU-10V, VKU-20V, VKU-40V, VKU-10M, VKU-20M, VKU-40M), Oscor C/VS Permanent Implantable Pacing Lead Adaptor (BVS/VS-15, B/VS-15, B/VS-20) C1883
C8102 Surgi-Vision Esophageal Stylet Internal Coil C1770
L8614 Cochlear device/system L8614

 

 

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