C2613 HCPCS code: Lung biopsy plug with delivery system
C2613 is the HCPCS Level II code for lung biopsy plug with delivery system. 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 | 2015-07-01 |
| Last action effective | 2018-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Clinical: Data |
| practitioner claims | 2 | Clinical: CMS Workgroup |
What changed for C2613
- 2015-07-01: C2613 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 C2613?
C2613 is the HCPCS Level II code for lung biopsy plug with delivery system. Short descriptor: "Lung bx plug w/del sys".
Does Medicare cover C2613?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C2613 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
Related C26 codes
- C2614 — Probe, percutaneous lumbar discectomy
- C2615 — Sealant, pulmonary, liquid
- C2616 — Brachytherapy source, non-stranded, yttrium-90, per source
- C2617 — Stent, non-coronary, temporary, without delivery system
- C2618 — Probe/needle, cryoablation
- C2619 — Pacemaker, dual chamber, non rate-responsive (implantable)
- C2620 — Pacemaker, single chamber, non rate-responsive (implantable)
- C2621 — Pacemaker, other than single or dual chamber (implantable)
- C2622 — Prosthesis, penile, non-inflatable
- C2623 — Catheter, transluminal angioplasty, drug-coated, non-laser
- C2624 — Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components
- C2625 — Stent, non-coronary, temporary, with delivery system
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Next steps
- Run a reimbursement report for a device billed under C2613
- Watch C2613 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C2613
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.