HCPCS code C9795
Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions
What C9795 means
C9795 (Sbrt w/positron emission del) belongs to the HCPCS Level II C series (Outpatient Prospective Payment System (OPPS)). Its Medicare coverage status is Special coverage instructions apply. Review the relevant Medicare manual or National Coverage Determination before billing.
Part B pricing: Statute.
CMS cross-references this code to G0563. Check that code if C9795isn't payable for your claim.
Code details
- Short description
- Sbrt w/positron emission del
- Coverage code
- D = Special coverage instructions apply
- Pricing indicator
- 53 = Statute
- Multiple pricing indicator
- A = Not applicable as HCPCS priced under one methodology
- Type of service
- 6 = Therapeutic radiology
- Action code
- N = No maintenance for this code
- Action effective date
- January 01, 2025
- Code added date
- January 01, 2024
- Data year
- 2026
Questions about C9795
What is HCPCS code C9795?
HCPCS code C9795 is a Level II code in the C series (Outpatient Prospective Payment System (OPPS)). Its full description is: "Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions"
Is C9795 a CPT code?
No. C9795 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code C9795?
The Medicare coverage code for C9795 is "Special coverage instructions apply". Review the relevant Medicare manual or National Coverage Determination before billing.
When was HCPCS code C9795 added?
C9795 was added to the HCPCS code set on January 01, 2024. The most recent action on it (No maintenance for this code) took effect on January 01, 2025.
Nearby C codes
All C codes- C9789Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed
- C9790Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
- C9791Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
- C9792Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
- C97933d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report
- C9796Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
- C9797Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction
- C9800Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies
- C9803Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source
- C9804Elastomeric infusion pump (e.g., on-q* pump with bolus), including catheter and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)