C9761 HCPCS code: Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter)
C9761 is the HCPCS Level II code for cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter). In 2024 Medicare paid an average of $2,751.77 per service for C9761 across 369 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 2 per day on outpatient hospital claims. Medicare volume rose 2360% from 2022 to 2024 (15 to 369 services). In 2024, about 39 clinicians billed Medicare for C9761 for 330 beneficiaries; Ohio, Tennessee, Texas accounted for 53% 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 | 2020-10-01 |
| Last action effective | 2023-01-01 |
Who bills C9761 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 39 |
| Medicare beneficiaries | 330 |
| States with claims | 11 |
| Share of services in top 3 states (Ohio, Tennessee, Texas) | 53% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C9761, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 15 | 14 | $5,019.00 | $3,999.98 |
| 2023 | 52 | 52 | $3,463.68 | $2,755.41 |
| 2024 | 369 | 330 | $3,454.64 | $2,751.77 |
States with the most C9761 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Ohio | 76 | $2,504.61 |
| Tennessee | 72 | $3,015.06 |
| Texas | 37 | $2,671.99 |
| Illinois | 31 | $2,725.93 |
| Pennsylvania | 27 | $1,459.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Anatomic Consideration |
| practitioner claims | 2 | Anatomic Consideration |
What changed for C9761
- 2020-10-01: C9761 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 C9761?
C9761 is the HCPCS Level II code for cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter). Short descriptor: "Cysto, litho, vacuum kidney".
How much does Medicare pay for C9761?
In 2024, the average Medicare payment was $2,751.77 per service (average allowed $3,454.64).
Does Medicare cover C9761?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C9761 can be billed per day?
2 on outpatient hospital claims; 2 on practitioner claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under C9761
- Watch C9761 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9761
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.