2025 HCPCS Code C9790
Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
TAGS: renal guidance energy malignant acoustic histotripsy ablation| Notice | HCPCS C9790 terminated on June 30, 2024. |
| Short Description | Kidney histotripsy w/image |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Code Added Date | October 01, 2023 |
| HCPCS Action Effective Date | July 01, 2024 |
| HCPCS Pricing Indicator Code | 53 - Statute |
| HCPCS Type Of Service Code | 6 - Therapeutic radiology |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
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