C9488 HCPCS code: Injection, conivaptan hydrochloride, 1 mg
C9488 is the HCPCS Level II code for injection, conivaptan hydrochloride, 1 mg. 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 40 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 | O1E — Other drugs |
| Added | 2017-04-01 |
| Last action effective | 2017-04-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 40 | Prescribing Information |
| practitioner claims | 20 | Prescribing Information |
What changed for C9488
- 2017-04-01: C9488 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 C9488?
C9488 is the HCPCS Level II code for injection, conivaptan hydrochloride, 1 mg. Short descriptor: "Conivaptan hcl".
Does Medicare cover C9488?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C9488 can be billed per day?
40 on outpatient hospital claims; 20 on practitioner claims (NCCI medically unlikely edits).
Related C94 codes
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- C9408 — Iodine i-131 iobenguane, therapeutic, 1 millicurie
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- C9443 — Injection, dalbavancin, 10 mg
- C9444 — Injection, oritavancin, 10 mg
- C9445 — Injection, c-1 esterase inhibitor (recombinant), ruconest, 10 units
- C9446 — Injection, tedizolid phosphate, 1 mg
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- C9450 — Injection, fluocinolone acetonide intravitreal implant, 0.01 mg
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Next steps
- Run a reimbursement report for a device billed under C9488
- Watch C9488 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9488
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.