C1600 HCPCS code: Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
C1600 is the HCPCS Level II code for catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable). In 2024 Medicare paid an average of $361.69 per service for C1600 across 117 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 4 per day on outpatient hospital claims. In 2024, about 6 clinicians billed Medicare for C1600 for 86 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 | 2024-01-01 |
| Last action effective | 2024-01-01 |
Who bills C1600 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 6 |
| Medicare beneficiaries | 86 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C1600, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 117 | 86 | $453.96 | $361.69 |
States with the most C1600 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Wisconsin | 78 | $185.30 |
| Texas | 33 | $566.77 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 4 | Code Descriptor / CPT Instruction |
| practitioner claims | 4 | Code Descriptor / CPT Instruction |
What changed for C1600
- 2024-01-01: C1600 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 C1600?
C1600 is the HCPCS Level II code for catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable). Short descriptor: "Cath, bladed, vasc prep".
How much does Medicare pay for C1600?
In 2024, the average Medicare payment was $361.69 per service (average allowed $453.96).
Does Medicare cover C1600?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C1600 can be billed per day?
4 on outpatient hospital claims; 4 on practitioner claims (NCCI medically unlikely edits).
Related C16 codes
- C1601 — Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
- C1602 — Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)
- C1603 — Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)
- C1604 — Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
- C1605 — Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
- C1606 — Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under C1600
- Watch C1600 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C1600
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.