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See a sample rate comparisonHCPCS C9605 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 transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (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 C9605 |
National average reimbursement for HCPCS C9605 by major payers:
$3,445.18
$54.00
$49.42
$367.12
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HCPCS C9605
5 of 25 sample ratesHigher to lower in this preview
Au Medical Center, Inc
Au Medical Center Inc
$29,377.00Published rateAlexandria Ambulatory Surgery Center Lp, Alexandria Heart & Vascular Surgery Center
$10,277.00Published rateHospital Service District #2 Of Lasalle Parish, Lasalle General Hospital
Hospital Service District 2 Of Lasalle Parish
$1,100.00Published rateAcadia General Hospital, Inc., Acadia General Hospital
Acadia General Hospital Inc
$204.00Published rateSouthern Surgical Center, LLC
Southern Surgical Center LLC
$85.00Published rate
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See a sample payer proposalHCPCS C9605 vs. Other Percutaneous Transcatheter/Transluminal Coronary Procedures Codes
The HCPCS C9605 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 C9605 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 |
|---|---|---|
| C9604-HCPCS | High | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
| C9605-HCPCS | High | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) |
| C9606-HCPCS | High | Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including aspiration thrombectomy when performed, single vessel |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9605. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the C9605 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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