{"id":180354,"date":"2026-08-17T07:17:26","date_gmt":"2026-08-17T07:17:26","guid":{"rendered":"https:\/\/pabau.com\/?p=180354"},"modified":"2026-08-18T13:21:16","modified_gmt":"2026-08-18T13:21:16","slug":"hcpcs-code-c1875","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-c1875\/","title":{"rendered":"HCPCS Code C1875: Coated stent billing and packaging"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS Code C1875: Stent, coated\/covered, without delivery system\",\"description\":\"HCPCS Code C1875 (Stent, coated\/covered, without delivery system) billing guide covering packaged OPPS status indicator N payment, C1874 vs C1875, device credit reporting, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1875\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-07\",\"dateModified\":\"2026-08-17\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS Code C1875 describes a coated or covered stent supplied without its delivery system, reported by hospital outpatient departments and ambulatory surgical centers.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>C1875 carries status indicator N in the CMS OPPS Addendum B, which packages the device cost into the APC payment for the primary procedure.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>There is no separate APC, relative weight, or 2026 payment rate for C1875, and no stent-specific exception to the packaging rule.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>You still report C1875 with the primary procedure code. The charge keeps the claim complete and feeds the data CMS uses to set future rates.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The only difference between C1874 and C1875 is the delivery system. Use C1874 for a stent supplied as a kit and C1875 for the device alone.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau keeps device codes, procedure codes, and implant records together, so claims leave complete the first time.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS Code C1875 covers a coated or covered stent supplied without its delivery system. Hospital outpatient departments and ambulatory surgical centers report it. Under the Medicare Outpatient Prospective Payment System (OPPS), the code pays nothing on its own. The device cost is packaged into the payment for the procedure that placed the stent.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers what the code describes, how it differs from C1874, and where it is valid. It also explains why no separate 2026 rate exists for C1875. You will find the device credit rules that do change payment, plus the documentation an auditor will ask to see.<\/p>\n\n\n\n<h2 id=\"h-hcpcs-code-c1875-official-description-and-code-details\" class=\"wp-block-heading\">HCPCS Code C1875: Official description and code details<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>HCPCS Code C1875<\/strong> is the correct code when a coated or covered stent is supplied without its delivery system. The Centers for Medicare and Medicaid Services (CMS) lists it in HCPCS Level II with this long description: <em>Stent, coated\/covered, without delivery system.<\/em> The short descriptor used in claims processing is: <em>Stent, coat\/cover w\/o deliv sys.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code sits in the Temporary Hospital Outpatient PPS category, usually called C codes. That category exists to capture device use in hospital outpatient and ambulatory surgical center (ASC) settings. C1875 was first reportable on August 1, 2000 and retired at the end of 2002. CMS reactivated it effective January 1, 2004 as a reporting-only device code.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">C1875<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coat\/cover w\/o deliv sys<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Long description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coated\/covered, without delivery system<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">HCPCS category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Level II &#8211; Temporary Hospital Outpatient PPS (C codes)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Effective date<\/td>\n<td style=\"padding:12px 16px;color:#374151\">August 1, 2000, then reactivated January 1, 2004<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">2026 status<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">OPPS status indicator (CY2026)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged item or service, no separate payment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">APC assignment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">None. Addendum B leaves the APC, relative weight, and payment rate columns blank.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Applicable settings<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital outpatient department (HOPD), ambulatory surgical center (ASC)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Reported with<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The CPT procedure code used to place the stent, on the same claim<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-coated-and-covered-stents-and-their-delivery-systems\" class=\"wp-block-heading\">Coated and covered stents and their delivery systems<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A coated or covered stent is a stent whose metal frame carries a surface coating or a graft covering, rather than being left bare. Covered stents use a fabric or polymer sleeve over the frame. Coated stents carry a surface treatment applied to the metal. Both point to C1874 or C1875 rather than to the bare-metal codes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The delivery system is the hardware that gets the stent to the lesion. That usually means a catheter, a balloon, a guidewire, or a sheath. When the manufacturer ships the stent pre-mounted on that hardware, the supply is a kit. When the stent arrives on its own, the supply is a device only, and C1875 describes it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Supply decides the code here, not clinical technique. Two identical procedures can take different C codes because of how the stent was packaged on arrival. That is why the purchase record matters as much as the operative note.<\/p>\n\n\n\n<h2 id=\"h-c1874-vs-c1875-with-and-without-a-delivery-system\" class=\"wp-block-heading\">C1874 vs C1875: With and without a delivery system<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most common stent coding error is using C1875 where C1874 applies, or the reverse. The two codes share a device description and differ on one variable. C1874 describes the stent <em>with<\/em> a delivery system, and C1875 describes it <em>without<\/em>. Our guide to <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1874\/\">C1874<\/a> covers the kit version in the same detail.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In practice the difference matters because the delivery system carries its own cost. If your facility receives the stent and the deployment hardware as one packaged unit, C1874 is correct. If the stent arrives separately from any deployment hardware, C1875 applies.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Factor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">C1874<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">C1875<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Full description<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coated\/covered, with delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coated\/covered, without delivery system<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Delivery system included?<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">When to use<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent supplied as a complete kit with deployment hardware<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent only, with deployment hardware supplied or billed separately<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">OPPS status indicator<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged, no separate payment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged, no separate payment<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">APC and payment rate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">None assigned in Addendum B<\/td>\n<td style=\"padding:12px 16px;color:#374151\">None assigned in Addendum B<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Common error risk<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reporting C1874 when only the device was supplied<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reporting C1875 when a full kit was supplied<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Reporting rule<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Report on the same claim as the CPT procedure code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Report on the same claim as the CPT procedure code<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Key documentation check:<\/strong> your operative or procedure note should state whether the stent was supplied as a kit or as a device only. Without that language, an auditor has no basis to confirm which code applies.<\/p>\n\n\n\n<h2 id=\"h-care-settings-where-c1875-is-valid\" class=\"wp-block-heading\">Care settings where C1875 is valid<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C codes, including HCPCS Code C1875, are setting-specific. They support the hospital outpatient prospective payment system, and they are valid in exactly two environments.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Hospital outpatient department (HOPD):<\/strong> the primary setting for C1875. Report the C code on the UB-04 claim alongside the CPT procedure code whenever a coated or covered stent is used.<\/li>\n\n\n\n<li><strong>Ambulatory surgical center (ASC):<\/strong> Medicare-certified ASCs also report C codes. The reporting rules mirror HOPD requirements, with payment governed by the ASC payment system rather than OPPS directly.<\/li>\n\n\n\n<li><strong>Physician office (professional claims):<\/strong> C1875 is not valid here. C codes do not belong on CMS-1500 professional claim forms, and submitting one will produce a denial.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The code goes on the claim in addition to the procedure code used to place the stent, never instead of it. Solid <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant documentation<\/a> habits also make the setting easy to evidence if a post-payment audit lands.<\/p>\n\n\n\n<h2 id=\"h-how-medicare-pays-for-c1875-under-opps\" class=\"wp-block-heading\">How Medicare pays for C1875 under OPPS<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare makes no separate payment for C1875. In the CY2026 OPPS Addendum B, CMS lists C1875 with status indicator N and leaves the APC, relative weight, and payment rate columns blank.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Status indicator N means the item is packaged, so the device cost is already built into the APC payment for the primary procedure. Sibling codes C1874, C1876, and C1877 are treated the same way.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The packaging is deliberate. CMS reactivated the stent C codes on January 1, 2004 so that hospitals would report device use and charges. Those charges give the agency cost data for future OPPS ratesetting. The codes were never restored as separately payable line items, and no stent-specific exception applies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Reporting C1875 still matters. OPPS hospitals are expected to report the device HCPCS code and its charge. That applies whenever a procedure requires a device and a code exists for it. The charge supports claim completeness, survives audit review, and feeds the cost data behind next year\u2019s rates.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payer<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">How C1875 is treated<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Where to verify<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare OPPS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Packaged. Status indicator N, no APC, no separate payment.<\/td>\n<td style=\"padding:12px 16px;color:#374151\"><a href=\"https:\/\/www.cms.gov\/medicare\/payment\/prospective-payment-systems\/hospital-outpatient\/regulations-notices\" target=\"_blank\" rel=\"nofollow noopener\">CMS OPPS regulations<\/a>, Addendum B for the current year<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare ASC<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Packaged device item. Confirm the current payment indicator before filing.<\/td>\n<td style=\"padding:12px 16px;color:#374151\"><a href=\"https:\/\/www.cms.gov\/medicare\/payment\/prospective-payment-systems\/ambulatory-surgical-center-asc\/asc-payment-rates-addenda\" target=\"_blank\" rel=\"nofollow noopener\">ASC payment addenda<\/a>, Addendum BB<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicaid<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Coverage and treatment vary by state. Never carry a Medicare rule across.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Your state Medicaid agency fee schedule and provider manual<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Commercial payers<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each payer sets its own device reporting and coverage policy.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The payer contract and its device or implant reimbursement policy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h3 id=\"h-why-there-is-no-separate-2026-fee-schedule-amount-for-c1875\" class=\"wp-block-heading\">Why there is no separate 2026 fee schedule amount for C1875<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Searches for a 2026 fee schedule figure for C1875 come back empty because no such figure is published. A packaged code has no relative weight, so there is nothing for the OPPS conversion factor or the wage index to act on. The dollars attached to the encounter sit entirely in the APC for the stent placement procedure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Other HCPCS Level II codes do carry published amounts. A supply code like <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-a4426\/\">A4426<\/a> is priced on the DMEPOS fee schedule. C codes appear on no fee schedule at all, because OPPS pays through the APC.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That also rules out a common shortcut. The Physician Fee Schedule lookup does not price OPPS device codes, so it is the wrong tool here. Third-party sites showing a dollar amount for C1875 are estimating, not quoting CMS.<\/p>\n\n\n\n<h3 id=\"h-c1875-in-the-asc-setting\" class=\"wp-block-heading\">C1875 in the ASC setting<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">ASCs report C1875 the same way hospitals do, on the claim with the covered surgical procedure. Device items of this kind appear in ASC Addendum BB as packaged services, so no separate payment is made.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The rule does not change by specialty. A vascular suite and a <a href=\"https:\/\/pabau.com\/industry\/plastic-surgery-emr\/\">plastic surgery<\/a> center file the device the same way. Check the payment indicator for C1875 in the CY2026 Addendum BB before you file. The ASC list is republished each year.<\/p>\n\n\n\n<h3 id=\"h-is-c1875-a-pass-through-code\" class=\"wp-block-heading\">Is C1875 a pass-through code?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Device pass-through categories carry status indicator H and receive a separate, time-limited payment on top of the procedure APC. C1875 carries status indicator N, so it is packaged instead. Any source describing C1875 as a pass-through device is describing a different category of C code.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Treat a vendor quote or a third-party rate table for C1875 as a red flag rather than a reference. Pull the CY2026 OPPS Addendum B and read the status indicator column first. If it reads N, the payment question is settled. Your attention then belongs on the procedure APC and the device credit rules instead.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-device-credit-reporting-where-a-c1875-claim-changes-payment\" class=\"wp-block-heading\">Device credit reporting: Where a C1875 claim changes payment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Because the device is packaged, the one situation that moves money on a C1875 claim is a manufacturer credit. A hospital may receive the device at no cost, or receive a credit worth 50 percent or more of its cost. Medicare expects that credit to be reported, and reduces payment accordingly.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The reporting method changed on January 1, 2014. Modifiers FB and FC were discontinued for outpatient claims on that date. Hospitals now report the credit amount under value code FD, described as credit received from the manufacturer for a replaced medical device.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Value code FD:<\/strong> carries the dollar amount of the credit the hospital received. CMS deducts that amount from the OPPS payment, capped at the device offset built into the APC.<\/li>\n\n\n\n<li><strong>Condition code 49:<\/strong> product replacement within the product lifecycle. Use it when a device is replaced early because it was not functioning properly.<\/li>\n\n\n\n<li><strong>Condition code 50:<\/strong> product replacement for a known recall. Use it when the manufacturer or the FDA has identified the product for recall.<\/li>\n\n\n\n<li><strong>The 50 percent threshold:<\/strong> reporting is triggered when the credit is 50 percent or more of the device cost. Smaller credits do not carry the same requirement.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Unreported device credits are what auditors recover on. The HHS Office of Inspector General has audited hospitals over unreported cardiac device credits, and the overpayments identified were substantial. A packaged code still carries financial risk when the credit rules are missed.<\/p>\n\n\n\n<h2 id=\"h-cpt-procedure-codes-reported-with-c1875\" class=\"wp-block-heading\">CPT procedure codes reported with C1875<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C1875 never travels alone. It goes on the claim with the CPT code for the procedure that placed the stent. That procedure code is what carries the APC payment. The families below are the ones most often paired with a coated or covered stent. Confirm the current descriptor before reporting any of them.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor summary<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Typical use with C1875<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">37236<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Transcatheter placement of an intravascular stent, initial artery, with radiological supervision and interpretation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">General arterial stenting outside the excluded territories<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">+37237<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each additional artery, reported with 37236<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Second and subsequent arteries in the same session<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">37238<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Transcatheter placement of an intravascular stent, initial vein, with radiological supervision and interpretation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Venous stenting, including covered stent placement in a vein<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">+37239<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each additional vein, reported with 37238<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Second and subsequent veins in the same session<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">37215<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical carotid artery stent placement with distal embolic protection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Carotid stenting where a protection device is used<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">37216<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cervical carotid artery stent placement without distal embolic protection<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Carotid stenting performed without a protection device<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">37220-37235<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Lower extremity revascularization family, including the stent variants<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Iliac, femoral, popliteal, and tibial work for occlusive disease<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The lower extremity family has its own rules about vascular territories and combined services. Check the CPT guidelines for that range rather than treating those codes as interchangeable with 37236 and 37238.<\/p>\n\n\n\n<h2 id=\"h-c1875-billing-guidelines-and-documentation-requirements\" class=\"wp-block-heading\">C1875 billing guidelines and documentation requirements<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Accurate billing for HCPCS Code C1875 starts with code selection and ends with records that hold up under audit. The same <a href=\"https:\/\/pabau.com\/blog\/medicare-billing\/\">Medicare billing<\/a> discipline applies across HCPCS device codes. The record must confirm what was used, when, and in which setting. For C1875, four areas need to be covered.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Device identification:<\/strong> the operative or procedure note should name the specific stent used. Record the manufacturer, model, and lot or serial number, and confirm the device was coated or covered.<\/li>\n\n\n\n<li><strong>Delivery system status:<\/strong> state explicitly whether the stent was supplied with or without its delivery system. This is the field that decides C1874 against C1875. An implant log that skips it leaves the coder guessing.<\/li>\n\n\n\n<li><strong>Procedure setting confirmation:<\/strong> the claim header and supporting records should show the encounter took place in a hospital outpatient department or a certified ASC.<\/li>\n\n\n\n<li><strong>Companion CPT procedure code:<\/strong> the claim must carry the CPT code for the stent placement. C1875 is a device code, not a procedure code, and it cannot stand on a claim by itself.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-common-billing-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common billing errors and how to avoid them<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Four errors show up repeatedly in audits involving stent C codes.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>C1874 and C1875 confusion:<\/strong> both errors trace back to documentation that never records whether the delivery system was included. Fix it by making the delivery system a required field on the implant log before coding starts.<\/li>\n\n\n\n<li><strong>Expecting separate payment:<\/strong> some teams budget for device revenue that never arrives, because C1875 is packaged. Model the encounter on the procedure APC, and treat the device charge as cost reporting rather than income.<\/li>\n\n\n\n<li><strong>Omitting the device code:<\/strong> leaving C1875 off the claim costs you no payment. It does leave the claim incomplete, and it weakens the charge data CMS uses to set future rates. Report it every time the device is used.<\/li>\n\n\n\n<li><strong>Reporting C1875 in the wrong setting:<\/strong> C codes are invalid on CMS-1500 professional claims, so a physician office submission will deny. Using <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> that capture setting and device details at the point of care reduces that risk.<\/li>\n<\/ul>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a quarterly reconciliation of C1874 and C1875 claims against your implant logs and your purchasing records. Match the delivery system field on each log entry to the code billed, then check whether any manufacturer credit went unreported. Mismatches found internally are corrections, not recoveries.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-related-hcpcs-codes-for-stents-and-cardiovascular-devices\" class=\"wp-block-heading\">Related HCPCS codes for stents and cardiovascular devices<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">HCPCS Code C1875 sits in the C18xx series alongside three closely related stent codes. Each captures a different device configuration, and all four are packaged under OPPS. Picking the wrong one carries the same audit risk as reporting C1875 incorrectly.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">HCPCS code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key distinction<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">OPPS status indicator<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C1874<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coated\/covered, with delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same stent type as C1875, supplied as a kit with its delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C1875<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, coated\/covered, without delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Coated or covered stent only, with no delivery hardware in the supply<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C1876<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, non-coated\/non-covered, with delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bare stent supplied as a kit with its delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C1877<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Stent, non-coated\/non-covered, without delivery system<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bare stent only, with no delivery hardware in the supply<\/td>\n<td style=\"padding:12px 16px;color:#374151\">N &#8211; packaged<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Verify the current descriptors against the active code set before reporting, since CMS updates HCPCS quarterly and annually. The <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\/quarterly-update\" target=\"_blank\" rel=\"nofollow noopener\">CMS HCPCS quarterly update<\/a> page lists each change as it takes effect.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sibling device codes are covered in the same depth. <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1881\/\">C1881<\/a> walks through an implantable dialysis access system reported under the same OPPS packaging rule.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-supports-hcpcs-device-code-billing\" class=\"wp-block-heading\">How Pabau supports HCPCS device code billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">For hospital outpatient and ASC billing teams, C1875 is a coordination job. The device code has to travel with its companion procedure code on the same claim. Errors enter in the space between the implant log, the procedure note, and the claim form.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Any practice that places implants runs the same risk, from a vascular service to a <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine<\/a> center. Pabau is practice management software that keeps <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">clinical records<\/a>, procedure documentation, and claims data in one connected system.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coders can read the procedure note next to the claim fields without moving between platforms. That heads off the three most common C code errors. A missing delivery system flag shows up before the claim leaves. So does an absent companion CPT code or an unconfirmed setting.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-c1875\/automate-claims-through-healthcode.webp\" alt=\"Pabau checkout screen showing a completed invoice billed to an insurer\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims management builds the insurer invoice as the encounter closes, so device and procedure lines stay attached to the visit record.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Connected notes and claims:<\/strong> procedure documentation and device details sit on the same record. The coder sees exactly what the clinician wrote at the time.<\/li>\n\n\n\n<li><strong>Workflow automation:<\/strong> <a href=\"https:\/\/pabau.com\/features\/automated-workflows-software\/\">automated billing workflows<\/a> can flag a claim that carries a device code with no companion procedure code, before it is submitted.<\/li>\n\n\n\n<li><strong>Audit-ready records:<\/strong> device name, lot number, delivery system status, and care setting are captured as structured fields. <a href=\"https:\/\/pabau.com\/features\/inventory-management-software\/\">Inventory tracking<\/a> holds the stock side, so nothing important stays buried in free text.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau\u2019s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> then submits and tracks the claim from the same record, so nothing is rekeyed on the way out. For a wider view of billing alongside scheduling and records, see <a href=\"https:\/\/pabau.com\/blog\/practice-management-software-features\/\">practice management software features<\/a>.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep device codes and procedure codes on the same claim                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects clinical notes, implant details, and claims in one system. Outpatient billing teams can catch an incomplete device claim before submission, rather than after a denial.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C1875 offers nothing to optimize. No payment is available, and no modifier unlocks one. What you control is whether the claim is complete and whether the record backs it up.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Put the effort where it changes the outcome. Make the delivery system a required field on the implant log. Then make the manufacturer credit a required check before the claim goes out. Those two habits close almost every stent C code finding an auditor raises.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get those right and the packaged code stops being a risk. It goes back to doing its job, which is feeding the charge data behind next year\u2019s rates.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau connects the clinical record to the claim, so the fields that decide correct HCPCS selection are visible before submission. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how it works for outpatient billing teams.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding the kit version of the same stent?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1874\/\">HCPCS Code C1874<\/a> covers the coated or covered stent supplied with its delivery system, and the reporting rules that go with it.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Reporting other implantable device C codes?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1881\/\">HCPCS Code C1881<\/a> walks through an implantable dialysis access system in the same ASC and outpatient context.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Working with bare-metal stents as well?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-c1876\/\">HCPCS Code C1876<\/a> covers the non-coated stent supplied as a kit, and how its packaging plays out on a claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Building audit-ready documentation habits?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA compliance software<\/a> covers the record-keeping and security controls that sit underneath a clean device claim.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786702437618\"><h3 class=\"schema-faq-question\">What is HCPCS Code C1875 used for?<\/h3> <p class=\"schema-faq-answer\">HCPCS Code C1875 reports a coated or covered stent supplied without its delivery system in a hospital outpatient department or an ambulatory surgical center. It goes on the same claim as the CPT procedure code used to place the stent. It is not valid on professional CMS-1500 claims.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786702437619\"><h3 class=\"schema-faq-question\">What is the difference between C1874 and C1875?<\/h3> <p class=\"schema-faq-answer\">C1874 describes a coated or covered stent supplied with its delivery system. C1875 describes the same stent type supplied without it. The only variable is whether the deployment hardware came with the device. Both codes are packaged under OPPS, so the error costs you audit standing rather than payment.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786702437620\"><h3 class=\"schema-faq-question\">What does without delivery system mean for stent coding?<\/h3> <p class=\"schema-faq-answer\">It means the stent was supplied as a standalone device, separate from the catheter, balloon, guidewire, or sheath used to place it. When the stent and its deployment hardware arrive as one packaged kit, C1874 applies. When only the stent itself is supplied, C1875 is the correct code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786702437623\"><h3 class=\"schema-faq-question\">Is C1875 a pass-through code under Medicare OPPS?<\/h3> <p class=\"schema-faq-answer\">No. Device pass-through categories carry status indicator H and receive separate, time-limited payment in addition to the procedure APC. C1875 carries status indicator N, so it is packaged instead. Sources describing C1875 as a pass-through device are confusing it with a different category of C code.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786702437625\"><h3 class=\"schema-faq-question\">Do I still have to report C1875 if it pays nothing?<\/h3> <p class=\"schema-faq-answer\">Yes. OPPS hospitals are expected to report the device HCPCS code and charge whenever a procedure requires a device and a code exists for it. The charge keeps the claim complete for audit purposes and feeds the cost data CMS uses to set future OPPS rates.<\/p> <\/div> <\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS Code C1875 covers a coated or covered stent supplied without its delivery system. Hospital outpatient departments and ambulatory surgical centers report it. Under the Medicare Outpatient Prospective Payment System (OPPS), the code pays nothing on its own. The device cost is packaged into the payment for the procedure that placed the stent. This guide [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":180353,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"83","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[1364,1582],"class_list":["post-180354","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs","tag-billing","tag-hcpcs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS Code C1875: Coated stent billing and packaging<\/title>\n<meta name=\"description\" content=\"C1875 code covers a coated or covered stent supplied without its delivery system. 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It is packaged under OPPS.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-c1875\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-17T07:17:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T13:21:16+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/hcpcs-code-c1875.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Despina Petrushevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Geschreven door\" \/>\n\t<meta name=\"twitter:data1\" content=\"Despina Petrushevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Geschatte leestijd\" \/>\n\t<meta name=\"twitter:data2\" content=\"15 minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/\"},\"author\":{\"name\":\"Despina Petrushevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#\\\/schema\\\/person\\\/80e6d36732fad68140a849f3c351449b\"},\"headline\":\"HCPCS Code C1875: Coated stent billing and packaging\",\"datePublished\":\"2026-08-17T07:17:26+00:00\",\"dateModified\":\"2026-08-18T13:21:16+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/\"},\"wordCount\":3100,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-c1875.webp\",\"keywords\":[\"billing\",\"Hcpcs\"],\"articleSection\":[\"Billing Codes\",\"HCPCS\"],\"inLanguage\":\"nl-NL\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/\",\"name\":\"HCPCS Code C1875: Coated stent billing and packaging\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/hcpcs-code-c1875.webp\",\"datePublished\":\"2026-08-17T07:17:26+00:00\",\"dateModified\":\"2026-08-18T13:21:16+00:00\",\"description\":\"C1875 code covers a coated or covered stent supplied without its delivery system. 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Outside of work, she enjoys photography, weekend getaways, and finding inspiration in everyday experiences.\",\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/blog\\\/author\\\/despina-petrushevska\\\/\"},{\"@type\":\"Question\",\"@id\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#faq-question-1786702437618\",\"position\":1,\"url\":\"https:\\\/\\\/pabau.com\\\/nl\\\/procedure-codes\\\/hcpcs-code-c1875\\\/#faq-question-1786702437618\",\"name\":\"What is HCPCS Code C1875 used for?\",\"answerCount\":1,\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"HCPCS Code C1875 reports a coated or covered stent supplied without its delivery system in a hospital outpatient department or an ambulatory surgical center. It goes on the same claim as the CPT procedure code used to place the stent. 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