C1875: Stent, coated/covered, without delivery system
C1875 is a HCPCS Level II code for stent, coated/covered, without delivery system. 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 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits: units per day
The most units of C1875 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
- 4 units MAI 3: Date of Service Edit: Clinical · Clinical: CMS Workgroup
- outpatient
- 4 units MAI 3: Date of Service Edit: Clinical · Clinical: Data
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 2026Q4.
The CMS record for C1875
- Long descriptor
- Stent, coated/covered, without delivery system
- Short descriptor
- Stent, coated/cov w/o del sy
- Added
- April 1, 2001
- 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 C1875
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If C1875 is not quite right, the correct code is very often within a few positions of it.
- C1833Monitor, cardiac, including intracardiac lead and all system components (implantable)
- C1834Pressure sensor system, includes all components (e.g., introducer, sensor), intramuscular (implantable), excludes mobile (wireless) software applicationterminated
- C1839Iris prosthesis
- C1840Lens, intraocular (telescopic)
- C1841Retinal prosthesis, includes all internal and external componentsterminated
- C1842Retinal prosthesis, includes all internal and external components; add-on to c1841terminated
- C1849Skin substitute, synthetic, resorbable, per square centimeterterminated
- C1874Stent, coated/covered, with delivery system
- C1876Stent, non-coated/non-covered, with delivery system
- C1877Stent, non-coated/non-covered, without delivery system
- C1878Material for vocal cord medialization, synthetic (implantable)
- C1880Vena cava filter
- C1881Dialysis access system (implantable)
- C1882Cardioverter-defibrillator, other than single or dual chamber (implantable)
- C1883Adapter/extension, pacing lead or neurostimulator lead (implantable)
- C1884Embolization protective system