C1772 — Infusion pump, programmable (implantable)
C1772 is a HCPCS Level II code for infusion pump, programmable (implantable). 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 C1772 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
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Service/Procedure
- outpatient
- 1 unit 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 C1772
- Long descriptor
- Infusion pump, programmable (implantable)
- Short descriptor
- Infusion pump, programmable
- Added
- April 1, 2001
- 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 C1772
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If C1772 is not quite right, the correct code is very often within a few positions of it.
- C1764Event recorder, cardiac (implantable)
- C1765Adhesion barrier
- C1766Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away
- C1767Generator, neurostimulator (implantable), non-rechargeable
- C1768Graft, vascular
- C1769Guide wire
- C1770Imaging coil, magnetic resonance (insertable)
- C1771Repair device, urinary, incontinence, with sling graft
- C1773Retrieval device, insertable (used to retrieve fractured medical devices)
- C1776Joint device (implantable)
- C1777Lead, cardioverter-defibrillator, endocardial single coil (implantable)
- C1778Lead, neurostimulator (implantable)
- C1779Lead, pacemaker, transvenous vdd single pass
- C1780Lens, intraocular (new technology)
- C1781Mesh (implantable)
- C1782Morcellator
Questions about C1772
What is HCPCS code C1772?
C1772 is a HCPCS Level II code for infusion pump, programmable (implantable). It sits in the Outpatient Prospective Payment System section.
Does Medicare cover C1772?
The CMS HCPCS file marks C1772 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.