C1765 – Adhesion barrier

HCPCS Level II code · C codes: Outpatient PPS (Hospital Outpatient)

Active code Special coverage instructions apply

HCPCS codeC1765
Long description
Adhesion barrier
Short description
Adhesion barrier
Pricing indicator
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
D1A Medical/surgical supplies
Added
July 1, 2001
Last change
July 1, 2001 – No change

Frequently asked questions

What is HCPCS code C1765?

C1765 is a HCPCS Level II code for adhesion barrier.

Does Medicare cover C1765?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby C codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.