C9811 : HCPCS Code (2026) : JSON

C9811 : Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023) ( Elec amb pmp nonopioid dev )

HCPCS Code : C9811 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "C9811",
    "LongDescription": "Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)",
    "ShortDescription": "Elec amb pmp nonopioid dev",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "53",
        "PricingIndicatorCode": "Statute"
      }
    },
    "MPI": "A",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS priced under one methodology",
    "CIMs": null,
    "MCMs": "",
    "Statute": "1833(t)",
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "D",
    "CoverageDescription": "Special coverage instructions apply",
    "ASCPayGrp": null,
    "ASCPayGrpEffDate": null,
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "P1G",
    "BETOSDescription": "Major procedure - Other",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "2",
        "TypeOfServiceCode": "Surgery"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20260101",
    "ActionEffDate": "20260101",
    "TermDate": null,
    "ActionCode": "N",
    "ActionCodeDescription": "No maintenance for this code"
  }
}