HCPCS code C1781: Mesh (implantable)

The facility (Hospital Outpatient Department or ASC) bills C1781 to report the cost of the mesh device used.

No. While required for proper reporting and to capture costs for future payment setting (especially under Medicare OPPS), the reimbursement for the device may be packaged into the payment for the primary surgical procedure and may not result in a separate payment.

CPT codes (e.g., 49591) describe the surgical procedure (the work of implanting the mesh). HCPCS codes (e.g., C1781) describe the device/product (the mesh itself). Both are typically required on the claim.