C1062 — Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
C1062 is a HCPCS Level II code for intravertebral body fracture augmentation with implant (e.g., metal, polymer). It belongs to the Outpatient Prospective Payment System section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of C1062 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 3 units MAI 3 — Date of Service Edit: Clinical · Nature of Service/Procedure
- outpatient
- 3 units MAI 3 — Date of Service Edit: Clinical · Nature of Service/Procedure
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for C1062
- Long descriptor
- Intravertebral body fracture augmentation with implant (e.g., metal, polymer)
- Short descriptor
- Intravertebral fx aug impl
- Added
- January 1, 2021
- BETOS
- D1A
- Pricing indicator
- 53 — Other
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Statute.
Codes adjacent to C1062
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If C1062 is not quite right, the correct code is very often within a few positions of it.
- B5200Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix
- B9000Enteral nutrition infusion pump - without alarmterminated
- B9002Enteral nutrition infusion pump, any type
- B9004Parenteral nutrition infusion pump, portable
- B9006Parenteral nutrition infusion pump, stationary
- B9998Noc for enteral supplies
- B9999Noc for parenteral supplies
- C1052Hemostatic agent, gastrointestinal, topical
- C1300Hyperbaric oxygen under pressure, full body chamber, per 30 minute intervalterminated
- C1600Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable)
- C1601Endoscope, single-use (i.e. disposable), pulmonary, imaging/illumination device (insertable)
- C1602Orthopedic/device/drug matrix/absorbable bone void filler, antimicrobial-eluting (implantable)
- C1603Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter)
- C1604Graft, transmural transvenous arterial bypass (implantable), with all delivery system components
- C1605Pacemaker, leadless, dual chamber (right atrial and right ventricular implantable components), rate-responsive, including all necessary components for implantation
- C1606Adapter, single-use (i.e. disposable), for attaching ultrasound system to upper gastrointestinal endoscope
Questions about C1062
What is HCPCS code C1062?
C1062 is a HCPCS Level II code for intravertebral body fracture augmentation with implant (e.g., metal, polymer). It sits in the Outpatient Prospective Payment System section.
Does Medicare cover C1062?
The CMS HCPCS file marks C1062 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.