C9818 – Suzetrigine, oral, 1 mg
HCPCS Level II code · C codes: Outpatient PPS (Hospital Outpatient)
HCPCS codeC9818
- Long description
- Suzetrigine, oral, 1 mg
- Short description
- Suzetrigine, orl, 1mg
- Pricing indicator
53Statute- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1AMedical/surgical supplies- ASC
- Approved for ambulatory surgical centers
- Added
- January 23, 2026
- Last change
- January 23, 2026 – No change
Frequently asked questions
What is HCPCS code C9818?
C9818 is a HCPCS Level II code for suzetrigine, oral, 1 mg.
Does Medicare cover C9818?
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
- C9810 – Water circulating motorized cold therapy device (e.g., iceman) including all system components (e.g. pads, console, disposable parts), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9811 – Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9812 – Echogenic and/or nerve stimulator-guided nerve block needles (e.g. sonoplex, sonoblock, sonotap, stimuplex), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9813 – Perforated continuous infusion catheter set (e.g. infiltralong), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9814 – Continuous anesthesia echogenic conduction catheter set (e.g. sonolong, e-cath), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9815 – Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9816 – Rotary peristaltic infusion pump (e.g., reusable ambit pump) including all disposable system components, reusable non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9817 – Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9898 – Radiolabeled product provided during a hospital inpatient stay
- C9899 – Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
- C9901 – Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.