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C9600

What C9600 is

Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch

HCPCS Level II long description, CMS October 2026 file. See the C codes page for the full section.

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Medically Unlikely Edit (MUE)

Medicare caps C9600 at 3 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Clinical: Data. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with C9600? These codes are bundled into it

C9600 is a Column 1 code in 233 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
01924Anes ther ivntl rad artl nos0 - no modifier bypassCheck pair
01925Anes ivntl rad artl crtd/c0 - no modifier bypassCheck pair
01926Anes ivntl rad icr icar/aort0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0632TPerq tcat us abltj nrv p-art1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
0937TXtrnl ecg rec>15d<30d1 - modifier may bypassCheck pair
0938TXtrnl ecg rec>15d<30d rec1 - modifier may bypassCheck pair
0939TXtrnl ecg rec>15d<30d scan1 - modifier may bypassCheck pair
0940TXtrnl ecg rec>15d<30d r&i1 - modifier may bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11001Dbrdmt ecz/infct skn ea addl1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair
11006Dbrdmt skin xtrnl gent per1 - modifier may bypassCheck pair
11042Dbrdmt subq tis 1st 20sqcm/<1 - modifier may bypassCheck pair
11043Dbrdmt musc&/fsca 1st 20/<1 - modifier may bypassCheck pair
11044Dbrdmt bone 1st 20 sq cm/<1 - modifier may bypassCheck pair
11045Dbrdmt subq tiss each addl1 - modifier may bypassCheck pair
11046Dbrdmt musc&/fsca ea addl1 - modifier may bypassCheck pair
11047Dbrdmt bone each addl1 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair

Showing 30 of 233 column 2 codes. Use the pair checker for any specific combination.

C9600 is bundled into these codes

C9600 appears as a Column 2 code in 12 active edits. Reported with one of these Column 1 codes on the same date of service, C9600 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0659TTcat intra-c nfs supersat o21Check pair
0913TPrq tcat ther rx ntrac balo11Check pair
33500Repair heart vessel fistula1Check pair
33501Repair heart vessel fistula1Check pair
33502Coronary artery correction1Check pair
33503Coronary artery graft1Check pair
33504Coronary artery graft1Check pair
33506Repair artery translocation1Check pair
92928Prq tcat plmt ntrac st 1 les1Check pair
92933Prq trlml c athrc st angiop11Check pair
92941Prq trlml revsc tot occl ami1Check pair
92943Prq trluml revsc ch occ ant1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.