C9778
What C9778 is
Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
HCPCS Level II long description, CMS October 2026 file. See the C codes page for the full section.
Medically Unlikely Edit (MUE)
Medicare caps C9778 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with C9778? These codes are bundled into it
C9778 is a Column 1 code in 247 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 code | Short description | Modifier indicator | |
|---|---|---|---|
00940 | Anes vaginal px nos | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
12001 | Rpr s/n/ax/gen/trnk 2.5cm/< | 1 - modifier may bypass | Check pair |
12002 | Rpr s/n/ax/gen/trnk2.6-7.5cm | 1 - modifier may bypass | Check pair |
12004 | Rpr s/n/ax/gen/trk7.6-12.5cm | 1 - modifier may bypass | Check pair |
12005 | Rpr s/n/a/gen/trk12.6-20.0cm | 1 - modifier may bypass | Check pair |
12006 | Rpr s/n/a/gen/trk20.1-30.0cm | 1 - modifier may bypass | Check pair |
12007 | Rpr s/n/ax/gen/trnk >30.0 cm | 1 - modifier may bypass | Check pair |
12011 | Rpr f/e/e/n/l/m 2.5 cm/< | 1 - modifier may bypass | Check pair |
12013 | Rpr f/e/e/n/l/m 2.6-5.0 cm | 1 - modifier may bypass | Check pair |
12014 | Rpr f/e/e/n/l/m 5.1-7.5 cm | 1 - modifier may bypass | Check pair |
12015 | Rpr f/e/e/n/l/m 7.6-12.5 cm | 1 - modifier may bypass | Check pair |
12016 | Rpr fe/e/en/l/m 12.6-20.0 cm | 1 - modifier may bypass | Check pair |
12017 | Rpr fe/e/en/l/m 20.1-30.0 cm | 1 - modifier may bypass | Check pair |
12018 | Rpr f/e/e/n/l/m >30.0 cm | 1 - modifier may bypass | Check pair |
12020 | Tx supfc wnd dehsn smpl clsr | 1 - modifier may bypass | Check pair |
12021 | Tx supfc wnd dehsn w/packing | 1 - modifier may bypass | Check pair |
12031 | Intmd rpr s/a/t/ext 2.5 cm/< | 1 - modifier may bypass | Check pair |
12032 | Intmd rpr s/a/t/ext 2.6-7.5 | 1 - modifier may bypass | Check pair |
12034 | Intmd rpr s/tr/ext 7.6-12.5 | 1 - modifier may bypass | Check pair |
12035 | Intmd rpr s/a/t/ext 12.6-20 | 1 - modifier may bypass | Check pair |
12036 | Intmd rpr s/a/t/ext 20.1-30 | 1 - modifier may bypass | Check pair |
Showing 30 of 247 column 2 codes. Use the pair checker for any specific combination.
C9778 is bundled into these codes
C9778 appears as a Column 2 code in 20 active edits. Reported with one of these Column 1 codes on the same date of service, C9778 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
57280 | Suspension of vagina | 0 | Check pair |
57282 | Colpopexy extraperitoneal | 0 | Check pair |
57283 | Colpopexy intraperitoneal | 0 | Check pair |
57425 | Laparoscopy surg colpopexy | 0 | Check pair |
58260 | Vaginal hysterectomy | 1 | Check pair |
58262 | Vag hyst including t/o | 1 | Check pair |
58263 | Vag hyst w/t/o & vag repair | 1 | Check pair |
58267 | Vag hyst w/urinary repair | 1 | Check pair |
58270 | Vag hyst w/enterocele repair | 1 | Check pair |
58275 | Hysterectomy/revise vagina | 1 | Check pair |
58280 | Hysterectomy/revise vagina | 1 | Check pair |
58285 | Extensive hysterectomy | 1 | Check pair |
58290 | Vag hyst complex | 1 | Check pair |
58291 | Vag hyst incl t/o complex | 1 | Check pair |
58292 | Vag hyst t/o & repair compl | 1 | Check 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.