C1789 – Prosthesis, breast (implantable)

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

Active code Special coverage instructions apply

HCPCS codeC1789
Long description
Prosthesis, breast (implantable)
Short description
Prosthesis, breast, imp
Pricing indicator
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
D1A Medical/surgical supplies
Added
April 1, 2001
Last change
January 1, 2004 – No change

Frequently asked questions

What is HCPCS code C1789?

C1789 is a HCPCS Level II code for prosthesis, breast (implantable).

Does Medicare cover C1789?

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.