C1602 HCPCS code: Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)
C1602 is the HCPCS Level II code for orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable). 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 1 per day on outpatient hospital claims.
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 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for C1602
- 2024-01-01: C1602 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 C1602?
C1602 is the HCPCS Level II code for orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable). Short descriptor: "Orth/matrx/bn fill drug-elut".
Does Medicare cover C1602?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C1602 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C16 codes
- C1600 — Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
- C1601 — Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
- 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
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Next steps
- Run a reimbursement report for a device billed under C1602
- Watch C1602 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C1602
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.