C9781 – Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed

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

Active code Special coverage instructions apply

HCPCS codeC9781
Long description
Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed
Short description
Arthro/shoul surg; w/spacer
Pricing indicator
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
P8A Endoscopy - arthroscopy
ASC
Approved for ambulatory surgical centers
Added
April 1, 2022
Last change
April 1, 2022 – No change

Frequently asked questions

What is HCPCS code C9781?

C9781 is a HCPCS Level II code for arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed.

Does Medicare cover C9781?

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.