HCPCS C1874: Stent, coated/covered, with delivery system

HCPCS C1874: Stent, coated/covered, with delivery system

Learn more about HCPCS code C1874 and how to properly use and bill for it by meeting the documentation and billing requirements listed in our short guide.

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Frequently asked questions

C1874 is for a coated/covered stent (e.g., a drug-eluting stent or a stent graft), while C1876 is for a non-coated/non-covered stent (e.g., a bare-metal stent). Both include the delivery system.

As a C-code, C1874 is recognized by Medicare for billing, but payment for the device is typically packaged into the payment for the overall primary procedure (e.g., the stenting or angioplasty CPT code) under the Outpatient Prospective Payment System (OPPS). It is not usually paid for as a separate, direct reimbursement.

No. C-codes are generally designed for use by hospital outpatient departments (facilities) to report devices for cost-tracking and payment packaging purposes under the OPPS. The physician bills for the professional service of the procedure using CPT codes.

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