C9778 HCPCS code: Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)
C9778 is the HCPCS Level II code for colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous). In 2024 Medicare paid an average of $1,455.84 per service for C9778 across 12 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. In 2024, about 4 clinicians billed Medicare for C9778 for 12 beneficiaries.
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 | 2021-07-01 |
| Last action effective | 2021-07-01 |
Who bills C9778 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 4 |
| Medicare beneficiaries | 12 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for C9778, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 12 | 12 | $1,821.57 | $1,455.84 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Anatomic Consideration |
| practitioner claims | 1 | Anatomic Consideration |
What changed for C9778
- 2021-07-01: C9778 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 C9778?
C9778 is the HCPCS Level II code for colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous). Short descriptor: "Colpopexy, min/inv, ex-perit".
How much does Medicare pay for C9778?
In 2024, the average Medicare payment was $1,455.84 per service (average allowed $1,821.57).
Does Medicare cover C9778?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of C9778 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
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Next steps
- Run a reimbursement report for a device billed under C9778
- Watch C9778 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C9778
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.