(Medicare Claims Processing Manual)

10/1/21 9/30/2024  102.  C1788 Port,  indwelling  (implantable)  8/1/00 12/31/02 103.  C1830  Powered  bone  marrow  biopsy  needle  10/01/11  12/31/13  104.  C2618  Probe,  cryoablation  4/1/01  12/31/03  105.  C2614  Probe,  percutaneous  lumbar  discectomy  1/1/03  12/31/04  106.  C1789  Prosthesis,  breast  (implantable)  10/1/00  12/31/02  107.  C1813  Prosthesis,  penile,  inflatable  8/1/00  12/31/02  108.  C2622  Prosthesis,  penile,  non-inflatable  10/1/01  12/31/02  109.  C1815  Prosthesis,  urinary  sphincter  (implantable)  10/1/00  12/31/02  110.  C1816 Receiver  and/or  transmitter,  neurostimulator  (implantable)  8/1/00 12/31/02 111.  C1771*  Repair  device,  urinary,  incontinence,  with sling  graft  10/1/00  12/31/02  112.  C2631* Repair  device,  urinary,  incontinence,  without  sling  graft  8/1/00 12/31/02 113.  C1841 Retinal  prosthesis,  includes  all internal  and external  Components  10/1/13 12/31/15 114.  C1814*  Retinal  tamponade  device,  silicone  oil 4/1/03  12/31/05  115.  C1773*  Retrieval device,  insertable  1/1/01  12/31/02  116.  C2615*  Sealant,  pulmonary,  liquid  (implantable)  1/1/01  12/31/02  117.  C1817*  Septal  defect  implant  system,  intracardiac  8/1/00  12/31/02  118.  C1874*  Stent,  coated/covered,  with delivery  system  8/1/00  12/31/02  119.  C1875*  Stent,  coated/covered,  without  delivery  system  8/1/00  12/31/02  120.  C1876*  Stent,  non-coated/non -covered,  with delivery  system  8/1/00  12/31/02  121.  C1877 Stent,  non-coated/non -covered,  without  delivery  system  8/1/00 12/31/02 122.  C2625*  Stent,  non-coronary,  temporary,  with delivery  system  10/1/00  12/31/02  123.  C2617* Stent,  non-coronary,  temporary,  without  delivery  system  10/1/00 12/31/02 124.  C1819  Tissue  localization  excision device  1/1/04  12/31/05  125.  C1879*  Tissue marker  (implantable)  8/1/00  12/31/02  126.  C1880  Vena  cava filter  1/1/01  12/31/02  127.  C1826  Generator, neurostimulator (implantable), includes closed feedback loop leads and all implantable components, with rechargeable battery and charging system   1/1/2023  12/31/2025  128.  C1827  Generator, neurostimulator (implantable), non -rechargeable, with implantable stimulation lead and external paired stimulation controller   1/1/2023  12/31/2025  129.  C1747  Endoscope, single -use (i.e. disposable), urinary tract, imaging/illumination device (insertable)   1/1/2023  12/31/2025  130.  C1824^  Generator, cardiac contractility modulation (implantable)  1/1/2020  12/31/2023  131.  C1982^  Catheter, pressure -generating, one -way valve, intermittently occlusive  1/1/2020  12/31/2023  132.  C1839^  Iris prosthesis  1/1/2020  12/31/2023  133.  C1734^  Orthopedic/device/drug matrix for opposing bone -to-bone or soft tissue -to bone (implantable)  1/1/2020  12/31/2023  134.  C2596^  Probe, image -guided, robotic, waterjet ablation  1/1/2020  12/31/2023   BOLD  codes  are still actively  receiving  pass-through payment.   Italicized  codes  have  received  preliminary  approval  for pass -through  payment.   * Refer  to the definition  below  for further  information  on this  device category code.  ** Effective 1/1/06 C1767 descriptor was changed for succeeding claims. See CR 4250, Jan. 3, 2006 for details.   *** Although the pass -through payment status for device category codes has expired, these codes  are still active and hospitals are still required to report the device category C -codes (except the brachytherapy source codes, which are separately paid under the OPPS) on claims when such devices  are used  in conjunction with  procedures  billed  and paid  under  the OPPS.   # The brachytherapy descriptors were changed to the ones shown above, effective 7/1/07. These 6 brachytherapy source codes were paid as pass -through devices from 2000 through 2002, as noted. Beginning  in 2004, all brachytherapy sources have been paid separately as non -pass-through items  from the procedure with which they are billed,  and additional brachytherapy source HCPCS codes  have been added for payment. To see the most current comprehensive list of brachytherapy source codes,  see the latest OPPS/ASC  final  rule.   ^Sec. 4141. Extension of Pass -Through Status Under the Medicare Program for Certain Devices Impacted by COVID -19 of the Consolidated Appropriations Act, 2023 has extended pass -through status for a 1- year period beginning on January 1, 2023.  60.4.3. - Explanations of Certain Terms/Definitions Related to Device Pass-Through Category  Codes (Rev. 11150; Issued: 12- 10-21; Effective: 01 -01-22; Implementation: 01 -03-22)  3D mapping catheter (C1732)  - 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.   Adaptor for a pacing lead (C1883)  - 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.   Adhesion barrier (C1765) - A bioresorbable substance placed on and around the neural structures, which inhibits cell migration (fibroblasts) and minimizes scar tissue formation. It is principally used in spine surgeries, such as laminectomies and diskectomies.   Anchor for opposing bone -to-bone or soft tissue -to-bone (C1713)  - 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. This may include orthopedic plates with accompanying washers and nuts. This category also applies to synthe tic bone substitutes that may be used to fill bony void or gaps (i.e., bone substitute implanted into a bony defect created from trauma or surgery).   Balloon dilatation catheter, non -vascular (C1726)  - 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 intes tine). [For the reporting of vascular balloon dilatation catheters, see category "Transluminal angioplasty catheter" (C1725 and C1885).]   Balloon tissue dissector catheter (C1727) - Balloon tipped catheter used to separate tissue planes, used in procedures such as hernia repairs.   Catheter, ablation, non -cardiac, endovascular (implantable) (C1888)   A radiofrequency or laser catheter designed to occlude or obliterate blood vessels (e.g., veins).   Cardioverter- defibrillator, other than single or dual chamber (C1882)  - Includes cardiac resynchronization devices.   Coated stent (C1874, C1875)  - Refers to a stent bonded with drugs (e.g., heparin), layered with biocompatible substances (e.g., phosphorylcholine), or with silicone or a silicone derivative (e.g., PTFE, polyurethane).   Connective tissue, human (C1762)  - 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 t issue. 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 urologi cal anatomy. Note 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) (C1763)  - 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.]   Cool -tip electrophysiology catheter (C2630)  - Ablation catheter that contains a cooling mechanism and has temperature sensing capability.   Covered stent (C1874, C1875)  - Refers to a stent layered with silicone or a silicone derivative (e.g., PTFE, polyurethane).   Drainage catheter (C1729)  - Intended to be used for percutaneous drainage of fluids. (NOTE: This category does NOT include Foley catheters or suprapubic catheters. Refer to category C2627 to report suprapubic catheters.)