C1767 HCPCS code: Generator, neurostimulator (implantable), non-rechargeable
C1767 is the HCPCS Level II code for generator, neurostimulator (implantable), non-rechargeable. 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 2 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 | 2001-04-01 |
| Last action effective | 2006-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Nature of Equipment |
| practitioner claims | 2 | Nature of Equipment |
Medicare policy articles for this code
- A53359: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence (Noridian Healthcare Solutions, LLC (MAC - Part A, MAC - Part B))
- A55835: Billing and Coding: Sacral Nerve Stimulation for Urinary and Fecal Incontinence (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A59332: Billing and Coding: Sacral Nerve Stimulation for the Treatment of Urinary and Fecal Incontinence (Palmetto GBA (MAC - Part A, MAC - Part B))
Covered diagnoses (47 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| N30.10 | Interstitial cystitis (chronic) without hematuria | 3 |
| N30.11 | Interstitial cystitis (chronic) with hematuria | 3 |
| N39.41 | Urge incontinence | 3 |
| N39.42 | Incontinence without sensory awareness | 3 |
| N39.46 | Mixed incontinence | 3 |
| N39.490 | Overflow incontinence | 3 |
| N39.492 | Postural (urinary) incontinence | 3 |
| N39.498 | Other specified urinary incontinence | 3 |
| R15.9 | Full incontinence of feces | 3 |
| R33.0 | Drug induced retention of urine | 3 |
Showing 10 of 47. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for C1767
- 2001-04-01: C1767 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 C1767?
C1767 is the HCPCS Level II code for generator, neurostimulator (implantable), non-rechargeable. Short descriptor: "Generator, neuro non-recharg".
Does Medicare cover C1767?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for C1767?
Medicare policy articles that cite C1767 list 47 covered ICD-10-CM diagnosis codes across 3 articles. The most cited include N30.10 (Interstitial cystitis (chronic) without hematuria), N30.11 (Interstitial cystitis (chronic) with hematuria), N39.41 (Urge incontinence). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of C1767 can be billed per day?
2 on outpatient hospital claims; 2 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)
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 C1767
- Watch C1767 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C1767
Sources: CMS HCPCS Level II release October 2026; 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.