HCPCS Code C9796

Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])
Code effective Jan 01, 2024

HCPCS Section
Temporary Codes for Use with Outpatient Prospective Payment System

C9796 is a valid 2026 HCPCS code meaning Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis]) or (Rpr intst excl anrect fist) for short. HCPCS C9796 has been effective since 01/01/2024 and applies to Surgery.

HCPCS Code Details - C9796

HCPCS Level II Code
Section C - Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9796
Description

Long description:
Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])

Short description:
Rpr intst excl anrect fist

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
ASC payment group code Effective Jan 01, 2024 - This procedure is approved to be performed in an ambulatory surgical center.
BETOS2 code P6C - Minor procedures - other (Medicare fee schedule)
HCPCS Action code N - No maintenance for this code
Type of service 2 - Surgery
Effective date Effective Jan 01, 2024
Date added Added Jan 01, 2024

See also

  • HCPCS C9795 · Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance and real-time positron emissions-based delivery adjustments to 1 or more lesions, entire course not to exceed 5 fractions

  • HCPCS C9797 · Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction

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.