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See a sample rate comparisonHCPCS C9601 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Outpatient PPS Percutaneous Transcatheter/Transluminal Coronary Procedures |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for C9601 |
National average reimbursement for HCPCS C9601 by major payers:
$4,367.14
$54.00
$1,456.48
$1,405.56
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HCPCS C9601
5 of 25 sample ratesHigher to lower in this preview
Our Lady Of Lourdes Regional Medical Center Inc
$45,177.00Published ratePiedmont Mountainside Hospital, Inc., Piedmont Mountainside Hospital
Piedmont Mountainside Hospital Inc
$1,856.00Published rateSouthwest Louisiana Hospital Association Inc, Lake Charles Memorial Hospital
Southwest Louisiana Hospital Association Inc
$669.00Published ratePointe Coupee Parish Health Services District Number One, Pointe Coupee General Hospital
$215.00Published rateSurgical Specialty Associates LLC, Doctors Same Day Surgery Center LLC
Surgical Specialty Associates
$69.00Published rate
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See a sample payer proposalHCPCS C9601 vs. Other Percutaneous Transcatheter/Transluminal Coronary Procedures Codes
The HCPCS C9601 code is part of the Outpatient PPS services used for Percutaneous Transcatheter/Transluminal Coronary Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS C9601 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| C9600-HCPCS | High | Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch |
| C9601-HCPCS | High | Percutaneous transcatheter placement of drug-eluting intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
| C9602-HCPCS | High | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9601. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9601 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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