C-Code Lookup

Merit’s C-Code lookup show’s Merit’s products and their corresponding C-Codes. Search by part number for your reference.

The reporting of C-codes on hospital outpatient claims is critical to ensure appropriate coding for device-related procedures as well as appropriate levels of reimbursement.  Medicare and also private payers use C-codes to track the cost of medical devices used during a hospital outpatient procedure that is billed under the Hospital Outpatient Prospective Payment System (OPPS).  While separate reimbursement for devices is not driven by c-code use, Medicare sets new hospital OPPS rates using hospital claims and cost data and the use of a C-code to report the device will ensure that the device’s costs are included.

Merit Medical Systems, Inc. gathers reimbursement information from third-party sources and presents this information for illustrative purposes only. This information does not constitute reimbursement or legal advice and does not guarantee that this information is accurate, complete, without errors, or that use of any of the codes provided will ensure coverage or payment at any particular level. Medicare may implement policies differently in various parts of the country. Physicians and hospitals should confirm with a particular payor or coding authority, such as the American Medical Association or medical specialty society, which codes or combinations of codes are appropriate for a particular procedure or combination of procedures. Reimbursement for a product or procedure can be different depending upon the setting in which the product is used. Coverage and payment policies also change over time and Merit Medical Systems, Inc. assumes no obligation to update the information provided herein.