AHA Coding Clinic® for HCPCS - 2025 Issue 3; In This Issue

Cryoneurolysis

Effective January 1, 2025, the Centers for Medicare & Medicaid (CMS) introduced HCPCS Level II code C9809, for use under the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System:C9809, Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, nonopioid medical device (must be a qualifying Medicare nonopioid medical device for postsurgical pain relief in accordance with Section 4135 of the CAA, 2023)Code C9809 was created as part of CMS’s implementation of the Non-Opioids Prevention Addiction in the Nation (NOPAIN) Act, allowing for separate reporting of qualifying non-opioid treatments in...

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