C1062 HCPCS code: Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
C1062 is the HCPCS Level II code for intravertebral body fracture augmentation with implant (e.g., metal, polymer). In 2023 Medicare paid an average of $2,375.74 per service for C1062 across 14 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 3 per day on outpatient hospital claims. Medicare volume fell 72% from 2022 to 2023 (50 to 14 services). In 2023, about 7 clinicians billed Medicare for C1062 for 12 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2021-01-01 |
| Last action effective | 2024-01-01 |
Who bills C1062 (2023)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 7 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C1062, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 50 | 41 | $3,344.17 | $2,667.71 |
| 2023 | 14 | 12 | $2,981.80 | $2,375.74 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 3 | Nature of Service/Procedure |
| practitioner claims | 3 | Nature of Service/Procedure |
What changed for C1062
- 2021-01-01: C1062 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C1062?
C1062 is the HCPCS Level II code for intravertebral body fracture augmentation with implant (e.g., metal, polymer). Short descriptor: "Intravertebral fx aug impl".
How much does Medicare pay for C1062?
In 2023, the average Medicare payment was $2,375.74 per service (average allowed $2,981.80).
Does Medicare cover C1062?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C1062 can be billed per day?
3 on outpatient hospital claims; 3 on practitioner claims (NCCI medically unlikely edits).
Related C10 codes
- C1052 — Hemostatic agent, gastrointestinal, topical
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Next steps
- Run a reimbursement report for a device billed under C1062
- Watch C1062 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C1062
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.