C1761 HCPCS code: Catheter, transluminal intravascular lithotripsy, coronary
C1761 is the HCPCS Level II code for catheter, transluminal intravascular lithotripsy, coronary. In 2024 Medicare paid an average of $3,545.44 per service for C1761 across 76 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 1 per day on outpatient hospital claims. Medicare volume rose 217% from 2022 to 2024 (24 to 76 services). In 2024, about 13 clinicians billed Medicare for C1761 for 70 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 | 2021-07-01 |
| Last action effective | 2021-07-01 |
Who bills C1761 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 13 |
| Medicare beneficiaries | 70 |
| States with claims | 2 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C1761, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 24 | 24 | $4,533.65 | $3,614.72 |
| 2023 | 101 | 97 | $4,506.97 | $3,590.92 |
| 2024 | 76 | 70 | $4,449.02 | $3,545.44 |
States with the most C1761 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 32 | $3,684.80 |
| Arizona | 30 | $3,441.52 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Nature of Service/Procedure |
| practitioner claims | 1 | Nature of Service/Procedure |
What changed for C1761
- 2021-07-01: C1761 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 C1761?
C1761 is the HCPCS Level II code for catheter, transluminal intravascular lithotripsy, coronary. Short descriptor: "Cath, trans intra litho/coro".
How much does Medicare pay for C1761?
In 2024, the average Medicare payment was $3,545.44 per service (average allowed $4,449.02).
Does Medicare cover C1761?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C1761 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C17 codes
- C1713 — Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)
- C1714 — Catheter, transluminal atherectomy, directional
- C1715 — Brachytherapy needle
- C1716 — Brachytherapy source, non-stranded, gold-198, per source
- C1717 — Brachytherapy source, non-stranded, high dose rate iridium-192, per source
- C1719 — Brachytherapy source, non-stranded, non-high dose rate iridium-192, per source
- C1721 — Cardioverter-defibrillator, dual chamber (implantable)
- C1722 — Cardioverter-defibrillator, single chamber (implantable)
- C1724 — Catheter, transluminal atherectomy, rotational
- C1725 — Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)
- C1726 — Catheter, balloon dilatation, non-vascular
- C1727 — Catheter, balloon tissue dissector, non-vascular (insertable)
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Next steps
- Run a reimbursement report for a device billed under C1761
- Watch C1761 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C1761
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.