Summary & Overview

HCPCS C1876: Non‑coated Non‑covered Stent with Delivery System

HCPCS Level II code C1876 denotes a non-coated, non-covered stent supplied with its delivery system for endovascular implantation. This device-level code matters nationally because it identifies a commonly used implant during peripheral and possibly coronary vascular interventions, influences device reimbursement, supply-chain contracting, and claims processing, and is relevant for hospitals, ambulatory surgical centers, and physician groups managing procedural device costs.

Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise view of what the code represents, payer coverage considerations, and the clinical contexts in which the device is used. The publication provides benchmarks where available, notes on coding and billing practice implications, and a clinical context for endovascular stent placement using a non-coated, non-covered device with delivery system.

This summary equips billing managers, revenue cycle professionals, and clinical leaders with the information needed to identify the code in claims, understand typical sites of service, and anticipate payer interactions. Data not available in the input is noted where relevant.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareC1876HCPCS Level IIstentendovascularvascular surgeryinterventional cardiologydevice codingambulatory surgeryhospital inpatient

Billing Code Overview

HCPCS Level II code C1876 describes a stent, non-coated/non-covered, with delivery system. This item represents an implantable vascular stent supplied together with its delivery system for placement during endovascular procedures. The service type associated with this code is endovascular stent placement, typically performed by interventional cardiology or vascular surgery teams.

The typical site of service for procedures using this device is an inpatient or outpatient hospital setting or an ambulatory surgical center, depending on clinical complexity and payer rules.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with symptomatic peripheral arterial disease (PAD) or focal arterial stenosis requiring endovascular treatment. The patient presents with lifestyle-limiting claudication, critical limb ischemia, or restenosis of a previous angioplasty site. Diagnostic angiography documents a discrete lesion suitable for stent placement. The interventionalist (commonly a vascular surgeon, interventional cardiologist, or interventional radiologist) performs endovascular access in an angiography suite or hybrid operating room using fluoroscopic guidance. After lesion crossing and balloon angioplasty as indicated, a non-coated/non-covered stent with its delivery system (C1876) is deployed across the target lesion to restore vessel patency. The procedure may occur in the hospital outpatient department, ambulatory surgical center, or inpatient operating room depending on clinical status and facility capabilities. Peri-procedural steps include vascular access, anticoagulation, angiographic imaging, device deployment, post-deployment angioplasty if needed, hemostasis, and short post-procedure monitoring for access site complications and limb perfusion before discharge or admission for observation.

Coding Specifications

Modifier	Description	When to Use
`00`	Default/replacement for no modifier	Use when no other modifier applies to the service.
`22`	Increased procedural services	Use when work or resource use substantially exceeds typical levels for the procedure.
`23`	Unusual anesthesia	Use when general anesthesia is medically necessary but not normally required for the procedure.
`51`	Multiple procedures	Use when multiple distinct procedures are billed in the same operative session.
`52`	Reduced services	Use when the procedure is partially reduced or not completed as originally planned.
`53`	Discontinued procedure	Use when the procedure is terminated due to patient condition or other unforeseen circumstances.
`62`	Two surgeons	Use when two surgeons from different specialties perform distinct portions of the procedure.
`80`	Assistant surgeon	Use when an assistant surgeon provides technical assistance during the procedure.
`81`	Minimum assistant surgeon	Use when minimal assistance is required intraoperatively.
`91`	Repeat clinical diagnostic laboratory test	Use when identical diagnostic testing is repeated on the same day and clinically indicated.
`LT`	Left side	Use to identify a procedure performed on the left side when laterality is reportable.
`RT`	Right side	Use to identify a procedure performed on the right side when laterality is reportable.
`QX`	Services by a CRNA with physician absent (modifiers vary by payer)	Use when a certified registered nurse anesthetist performs anesthesia without physician direction, as defined by payer rules.

Taxonomy Code	Specialty	Notes
`207RX0400X`	Interventional Cardiology	Performs peripheral and coronary endovascular stenting procedures.
`207T00000X`	Vascular Surgery	Commonly performs peripheral arterial stent placement and hybrid procedures.
`2084P0800X`	Interventional Radiology	Performs image-guided vascular interventions including stent deployment.
`207RC0000X`	Cardiology	May perform catheter-based peripheral interventions in some practices.
`207L00000X`	Thoracic and Cardiovascular Surgery	May be involved for complex central or aorto-iliac stenting procedures.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.219`	Atherosclerosis of native arteries of the extremities, unspecified extremity, with intermittent claudication	Common indication for peripheral arterial stent placement for symptomatic PAD.
`I70.229`	Atherosclerosis of native arteries of the extremities, unspecified extremity, with rest pain	Indicates more severe limb ischemia prompting endovascular revascularization with stent.
`I70.231`	Atherosclerosis of native arteries of the right leg with ulceration	Ulceration from ischemia often necessitates revascularization and possible stent deployment.
`I70.232`	Atherosclerosis of native arteries of the left leg with ulceration	Same clinical relevance for left-sided disease requiring stent placement.
`I70.241`	Atherosclerosis of bypass graft of the right leg with intermittent claudication	Stenting of restenotic bypass graft segments may require a non-covered stent device.
`I70.8`	Other atherosclerosis	Used when disease is specified in other arteries where stenting may be appropriate, e.g., iliac or femoral.
`I74.3`	Embolism and thrombosis of arteries of the lower extremity	In select cases of embolic occlusion treated with endovascular devices, stenting may be part of the workflow.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36245`	Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, or each first order abdominal visceral branch, when performed	May be billed for arterial catheterization to access and visualize the lesion before stent placement.
`37226`	Revascularization, endovascular, open or percutaneous, femoral, popliteal, tibial, and/or peroneal artery, with stent placement(s), including angioplasty when performed; initial vessel	Commonly billed when placing an arterial stent in the lower extremity; used alongside the device code for the stent product.
`37227`	... each additional vessel treated with stent(s) (List separately in addition to code for primary procedure)	Billed when additional limb vessels require stent placement during the same session.
`36478`	Endovenous ablation therapy, radiofrequency, percutaneous, including imaging guidance and monitoring when performed (first vein treated)	May be performed in combined peripheral interventions when venous procedures are done in the same encounter (less common).
`36005`	Introduction of needle or intracatheter, arterial, with diagnostic angiography, initial vessel	Used for arterial access and diagnostic angiography preceding therapeutic intervention.