HCPCS CODE DESCRIPTION PRODUCTS

1 ADDENDUM: HCPCS DEVICE CODES ADDENDUM: HCPCS DEVICE CODES1 HCPCS device codes are assigned by the entity that purchased and supplied the device to the patient. In the case of Medtronic neurovascular PRODUCTS , that is the hospital. However, hospitals assign HCPCS device codes only when the device is provided in the hospital outpatient setting. HCPCS device codes cannot be assigned or billed for procedures performed in the inpatient setting. If a hospital requires a HCPCS device code for an inpatient case for internal purposes only, such as for tracking, please refer to the table below for references. C1769 GuidewiresAv go .014 Hydrophilic Guidewire, Mirage .008 Hydrophilic Guidewire, SilverSpeed Hydrophilic Guidewire, X-Pedion Hydrophilic GuidewireC1887 Distal Access CathetersIntracranial Support Catheters Micro CathetersPhenom * Plus CatheterArc Intracranial Support Catheter, Arc Mini Intracranial Support Catheter, Navien Intracranial Support CatheterApollo Onyx Delivery Micro Catheter, Marathon Micro Catheter, Marksman Micro Catheter, Marksman 160 Micro Catheter, Nautica 14 XL Reinforced Micro Catheter, Orion -21 Micro Catheter, Echelon 10 Micro Catheter, Echelon 14 Micro Catheter, Echelon Syringe Adapter, Phenom * Micro Catheter, Rebar 10 Reinforced Micro Catheter, Rebar 14 Reinforced Micro Catheter, Rebar 18 Reinforced Micro Catheter, Rebar 27 Reinforced Micro CatheterC2628 BalloonsHyperForm Occlusion Balloon Systems.

2 HyperGlide Occlusion Balloon SystemsC1757 Stent RetrieverSolitaire Platinum Revascularization DeviceHCPCS CODEDESCRIPTIONPRODUCTS9775 Toledo Way Irvine, CA 92618 USA Tel Fax 2017 Medtronic. All rights reserved. Medtronic, Medtronic logo and Further, Together are trademarks of Medtronic. Phenom is a trademark of Cathera, Inc. All other brands are trademarks of a Medtronic company. DC00074185 Rev A NOV20171 Healthcare Common Procedure Coding System ( HCPCS ) Level II codes are maintained by the Centers for Medicare and Medicaid Services.