C9899 HCPCS Level II code: Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
C9899 is the HCPCS code for “Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
C9899Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
Short description: Inpt implant pros dev,no cov
HCPCS · United States
Medicare details
The indicators CMS publishes with C9899 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Statute
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Coverage statute
- 1833(t)
- Added
- Jan 1, 2009
Where C9899 sits
- 1C codesOutpatient prospective payment system
- 2Active code C9899Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
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 C9899 mean?
C9899 is the HCPCS code for “Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover C9899?
CMS lists C9899’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 C9899
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