C9740 HCPCS code: Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants
C9740 is the HCPCS Level II code for cystourethroscopy, with insertion of transprostatic implant; 4 or more implants. In 2024 Medicare paid an average of $5,601.38 per service for C9740 across 4,737 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 fell 26% from 2022 to 2024 (6,367 to 4,737 services). In 2024, about 356 clinicians billed Medicare for C9740 for 4,723 beneficiaries; Florida, Maryland, Georgia accounted for 36% of services.
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 | P5E |
| Added | 2014-04-01 |
| Last action effective | 2014-04-01 |
Who bills C9740 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 356 |
| Medicare beneficiaries | 4,723 |
| States with claims | 37 |
| Share of services in top 3 states (Florida, Maryland, Georgia) | 36% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C9740, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 6,367 | 6,347 | $6,939.69 | $5,531.72 |
| 2023 | 6,162 | 6,135 | $6,914.17 | $5,504.60 |
| 2024 | 4,737 | 4,723 | $7,039.85 | $5,601.38 |
States with the most C9740 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 690 | $5,358.91 |
| Maryland | 589 | $5,670.14 |
| Georgia | 400 | $5,700.04 |
| Pennsylvania | 256 | $5,535.12 |
| California | 219 | $6,917.90 |
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 C9740
- 2014-04-01: C9740 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 C9740?
C9740 is the HCPCS Level II code for cystourethroscopy, with insertion of transprostatic implant; 4 or more implants. Short descriptor: "Cysto impl 4 or more".
How much does Medicare pay for C9740?
In 2024, the average Medicare payment was $5,601.38 per service (average allowed $7,039.85).
Does Medicare cover C9740?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C9740 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C97 codes
- C9724 — Endoscopic full-thickness plication of the stomach using endoscopic plication system (eps); includes endoscopy
- C9725 — Placement of endorectal intracavitary applicator for high intensity brachytherapy
- C9726 — Placement and removal (if performed) of applicator into breast for intraoperative radiation therapy, add-on to primary breast procedure
- C9727 — Insertion of implants into the soft palate; minimum of three implants
- C9728 — Placement of interstitial device(s) for radiation therapy/surgery guidance (e.g., fiducial markers, dosimeter), for other than the following sites (any approach): abdomen, pelvis, prostate, retroperitoneum, thorax, single or multiple
- C9733 — Non-ophthalmic fluorescent vascular angiography
- C9734 — Focused ultrasound ablation/therapeutic intervention, other than uterine leiomyomata, with magnetic resonance (mr) guidance
- C9735 — Anoscopy; with directed submucosal injection(s), any substance
- C9737 — Laparoscopy, surgical, esophageal sphincter augmentation with device (e.g., magnetic band)
- C9738 — Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure)
- C9739 — Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
- C9741 — Right heart catheterization with implantation of wireless pressure sensor in the pulmonary artery, including any type of measurement, angiography, imaging supervision, interpretation, and report
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Next steps
- Run a reimbursement report for a device billed under C9740
- Watch C9740 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9740
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.