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HCPCS C9765 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.

Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
Key FactDetail
Service Type

Outpatient PPS

Other Therapeutic Services and Supplies

Complexity LevelHigh

National average reimbursement for HCPCS C9765 by major payers:

bcbs

$1,885.23

uhc

$N/A

aetna

$42,773.20

cigna

$N/A

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HCPCS C9765
5 of 25 sample ratesHigher to lower in this preview
  1. , Ochsner Outpatient Surgery Suite

    Ochsner Clinic Foundation

    LAAmbulatory Surgical Clinic/CenterNPI 1063735702Tax ID 72-0502505

    $41,032.00Published rate
  2. Sabine Medical Center Inc, Sabine Medical Center

    LAGeneral Acute Care HospitalNPI 1649262791Tax ID 26-2074318

    $18,728.19Published rate
  3. University Health Shreveport LLC, Ochsner Lsu Health Shreveport

    LAGeneral Acute Care HospitalNPI 1427536325Tax ID 83-1173631

    $9,478.00Published rate
  4. Thibodaux Laser And Surgery Center, LLC

    LAAmbulatory Surgical Clinic/CenterNPI 1073505616Tax ID 36-4463537

    $4,004.00Published rate
  5. Ophthalmic Outpatient Surgery Center Partners, LLC, Outpatient Surgery Center For Sight

    Ophthalmic Outpatient Surgery Center Partners LLC

    LAAmbulatory Surgical Clinic/CenterNPI 1114929957Tax ID 72-1405960

    $434.00Published rate

National sample. Rates vary by location, specialty, and contract.

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HCPCS C9765 vs. Other Other Therapeutic Services and Supplies Codes

The HCPCS C9765 code is part of the Outpatient PPS services used for Other Therapeutic Services and Supplies. 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 C9765 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.

CodeComplexityDescription
C9764-HCPCSHighRevascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed
C9765-HCPCSHighRevascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed
C9766-HCPCSHighRevascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy and atherectomy, includes angioplasty within the same vessel(s), when performed

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS C9765. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the C9765 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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