C9818 HCPCS Level II code: Suzetrigine, oral, 1 mg
C9818 is the HCPCS code for “Suzetrigine, oral, 1 mg” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
C9818Suzetrigine, oral, 1 mg
Short description: Suzetrigine, orl, 1mg
HCPCS · United States
Medicare details
The indicators CMS publishes with C9818 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Statute
- ASC
- Approved for ambulatory surgical centers
- Type of service
- Other medical items or services
- BETOS category
- Medical/surgical supplies
- Coverage statute
- 1833(t)
- Added
- Jan 23, 2026
Where C9818 sits
- 1C codesOutpatient prospective payment system
- 2Active code C9818Suzetrigine, oral, 1 mg
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code C9818 mean?
C9818 is the HCPCS code for “Suzetrigine, oral, 1 mg” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover C9818?
CMS lists C9818’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Statute”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside C9818
All C codesC9812Echogenic and/or nerve stimulator-guided nerve block needles (e.g. sonoplex, sonoblock, sonotap, stimuplex), non-opioid medical device (must be a qualifying medicare non-opioid…C9813Perforated continuous infusion catheter set (e.g. infiltralong), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for…C9814Continuous anesthesia echogenic conduction catheter set (e.g. sonolong, e-cath), including all components, non-opioid medical device (must be a qualifying medicare non-opioid…C9815Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), and all disposable system components, non-opioid medical device (must be a qualifying…C9816Rotary peristaltic infusion pump (e.g., reusable ambit pump) including all disposable system components, reusable non-opioid medical device (must be a qualifying medicare…C9817Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system…C9898Radiolabeled product provided during a hospital inpatient stayC9899Implanted prosthetic device, payable only for inpatients who do not have inpatient coverageC9901Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if…