C9796 – Repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis])

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

Active code Special coverage instructions apply

HCPCS codeC9796
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
Pricing indicator
53 Statute
Medicare coverage
D Special coverage instructions apply
BETOS category
P6C Minor procedures - other (Medicare fee schedule)
ASC
Approved for ambulatory surgical centers
Added
January 1, 2024
Last change
January 1, 2024 – No change

Frequently asked questions

What is HCPCS code C9796?

C9796 is a HCPCS Level II code for repair of enterocutaneous fistula small intestine or colon (excluding anorectal fistula) with plug (e.g., porcine small intestine submucosa [sis]).

Does Medicare cover C9796?

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.