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HCPCS Level II · Outpatient PPS (temporary codes)

C9064Mitomycin pyelocalyceal instillation, 1 mg

Terminated 12/31/2020

Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About C9064

C9064 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing mitomycin pyelocalyceal instillation, 1 mg.

It was added to HCPCS effective 10/01/2020, and its current record took effect 01/01/2021.

It was terminated on 12/31/2020 and can't be billed for later dates of service.

Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.

Details

Short description
Mitomycin pyelocalyceal inst
Date added
10/01/2020
Action effective
01/01/2021
Termination date
12/31/2020
BETOS
O1D

Related C90xx codes

Common questions about C9064

Is HCPCS C9064 still valid?

No. C9064 was terminated on 12/31/2020.

Does Medicare cover C9064?

Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.