HCPCS Code C9790

Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
Code effective Jul 01, 2024

HCPCS Section
Temporary Codes for Use with Outpatient Prospective Payment System

C9790 is a valid 2026 HCPCS code meaning Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance or (Kidney histotripsy w/image) for short. HCPCS C9790 has been effective since 07/01/2024 and applies to Therapeutic radiology.

HCPCS Code Details - C9790

HCPCS Level II Code
Section C - Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9790
Description

Long description:
Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance

Short description:
Kidney histotripsy w/image

HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1833(t)
Coverage code D - Special coverage instructions apply
BETOS2 code P1G - Major procedure - Other
HCPCS Action code N - No maintenance for this code
Type of service 6 - Therapeutic radiology
Effective date Effective Jul 01, 2024
Date added Added Oct 01, 2023
Termination date Jun 30, 2024

See also

  • HCPCS C9789 · Instillation of anti-neoplastic pharmacologic/biologic agent into renal pelvis, any method, including all imaging guidance, including volumetric measurement if performed

  • HCPCS C9791 · Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.