Summary & Overview
HCPCS Level II C9361: Collagen Matrix Nerve Wrap (Neuromend), per 0.5 cm
HCPCS Level II code C9361 designates a collagen matrix nerve wrap (Neuromend), billed per 0.5 centimeter length. The code identifies an implantable surgical adjunct used to protect and support peripheral nerves during repair, grafting, or decompression procedures. Nationally, accurate coding of such device-level items affects surgical supply accounting, device-specific tracking, and reimbursement for procedures involving advanced biologic materials.
Key payers in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication summarizes payer coverage patterns, typical sites of service, clinical context for use, and coding best practices relevant to device-level reporting.
Readers will find benchmarks for utilization and reimbursement where available, discussion of common clinical indications for nerve wraps, coding and billing considerations specific to HCPCS Level II device entries, and any notable policy updates affecting coverage and payment. Data not available in the input is explicitly noted where applicable.
Billing Code Overview
HCPCS Level II code C9361 describes a collagen matrix nerve wrap (Neuromend collagen nerve wrap), billed per 0.5 centimeter length. This item represents an implantable biologic device used to wrap and protect peripheral nerves during surgical repair or decompression procedures.
-
Service type: Implantable biologic/surgical adjunct
-
Typical site of service: Operating room or other procedural/surgical setting where peripheral nerve repair or decompression is performed
Clinical & Coding Specifications
Clinical Context
A 52-year-old patient presents with persistent neuropathic pain and progressive sensory deficit after a traumatic laceration to the forearm with confirmed partial transection and scarring around the median nerve. After surgical exploration and neurolysis, the surgeon places a collagen matrix nerve wrap (C9361, billed per 0.5 cm length) around the repaired nerve to reduce perineural scar formation and facilitate gliding. The typical workflow includes preoperative evaluation in an ambulatory surgical center or hospital outpatient setting, regional or general anesthesia, microsurgical nerve repair or neurolysis, measurement of nerve circumference and required wrap length, placement and fixation of the neuromend collagen nerve wrap, intraoperative assessment of nerve tension and hemostasis, and routine postoperative monitoring with discharge planning for wound care and scheduled neurologic follow-up.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when the nerve wrap placement requires substantially greater work than typical (extensive dissection, prolonged operative time) and documentation supports increased work. |
23 |