Summary & Overview
HCPCS C9353: Microporous Collagen Implantable Slit Tube (NeuraWrap), per cm
HCPCS Level II code C9353 represents a microporous collagen implantable slit tube (NeuraWrap nerve protector), reported per centimeter length. The code identifies an implantable surgical device used as an adjunct for nerve protection and repair during procedures that involve peripheral nerves. Nationally, device-specific HCPCS codes like C9353 matter because they affect device billing, supply cost reporting, and reimbursement pathways across Medicare and major commercial payers.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for the device, typical sites of service, and which payers are commonly involved in coverage and reimbursement decisions. The publication outlines benchmark pricing considerations, coding and billing implications for per-centimeter reporting, and where to look for payer-specific coverage guidance.
This summary also highlights common billing modifiers and elements relevant to surgical supply reporting. Where specific payer policy details or pricing benchmarks are not provided in the input, the text notes that those data points are not available. The content is intended for national audiences involved in surgical billing, revenue cycle management, and clinical supply procurement seeking clear, device-focused coding information.
Billing Code Overview
HCPCS Level II code C9353 describes a microporous collagen implantable slit tube (NeuraWrap nerve protector), billed per centimeter length. This device is used as a nerve protection and repair adjunct during surgical procedures involving peripheral nerves.
Service type: implantable surgical device/nerve protection adjunct
Typical site of service: operating room or surgical suite (inpatient or outpatient surgical settings)
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A 52-year-old patient presents with chronic peripheral nerve entrapment of the superficial radial nerve following prior trauma and scar formation after a distal forearm laceration. Conservative management including physical therapy, anti-inflammatory medication, and peripheral nerve blocks provided incomplete relief. The surgical team plans a targeted neurolysis with placement of a microporous collagen implantable slit tube (neurawrap nerve protector) sized per centimeter to protect the nerve from recurrent scar adherence and to facilitate healthy gliding.
Preoperative workflow includes informed consent, measurement of the required length of the nerve segment to be protected, ordering of the implant (C9353 billed per centimeter), and documentation of objective findings (sensory deficit, Tinel sign, electrodiagnostic studies if performed). Intraoperative workflow includes exposure of the affected nerve, careful neurolysis to remove constrictive scar tissue, sizing and trimming the C9353 device to the measured length, securing the implant around the nerve as indicated, hemostasis, and layered closure. Postoperative documentation records the procedure, implanted length in centimeters, implant lot numbers, and any intraoperative complications. Typical sites of service are hospital outpatient surgery centers or ambulatory surgical centers for peripheral nerve decompression and nerve protection procedures.
Coding Specifications
| Modifier | Description | When to Use |
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