C1601 — Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
C1601 is a HCPCS Level II code for endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable). It belongs to the Outpatient Prospective Payment System section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of C1601 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for C1601
- Long descriptor
- Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
- Short descriptor
- Endo, single, pulmonary
- Added
- January 1, 2024
- BETOS
- D1A
- Pricing indicator
- 53 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Statute.
Codes adjacent to C1601
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If C1601 is not quite right, the correct code is very often within a few positions of it.
- B9004Parenteral nutrition infusion pump, portable
- B9006Parenteral nutrition infusion pump, stationary
- B9998Noc for enteral supplies
- B9999Noc for parenteral supplies
- C1052Hemostatic agent, gastrointestinal, topical
- C1062Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
- C1300Hyperbaric oxygen under pressure, full body chamber, per 30 minute intervalterminated
- C1600Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
- C1602Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)
- C1603Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)
- C1604Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
- C1605Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
- C1606Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope
- C1607Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system
- C1608Prosthesis, total, dual mobility, first carpometacarpal joint (implantable)
- C1609Vertebral device, motion-preserving, with screw fixation
Questions about C1601
What is HCPCS code C1601?
C1601 is a HCPCS Level II code for endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable). It sits in the Outpatient Prospective Payment System section.
Does Medicare cover C1601?
The CMS HCPCS file marks C1601 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.