C9750 Intracardiac Ischemia Monitoring — HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS C9750: Intracardiac Ischemia Monitoring System Insertion/Replacement

HCPCS Level II code C9750 designates the insertion, removal, or replacement of a complete intracardiac ischemia monitoring system, encompassing device and electrode placement along with imaging supervision, interpretation, and peri-operative interrogation and programming. This procedure supports continuous cardiac ischemia surveillance and can influence inpatient and outpatient cardiac care pathways, device management workflows, and facility resource use.

Key national payers considered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of payer coverage patterns, coding and billing considerations, and clinical context for device use. The publication summarizes benchmarks for utilization and reimbursement where available, highlights recent policy or coverage updates relevant to implanted cardiac monitoring devices, and outlines common clinical indications for deployment of intracardiac ischemia monitoring systems.

The content is intended for billing managers, clinical leaders, and policy analysts seeking concise guidance on coding context, payer landscapes, and the operational implications of C9750 for cardiac device programs. Data not available in the input is explicitly noted in relevant sections.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareC9750HCPCS Level IIintracardiac ischemia monitoringcardiac deviceimplantationdevice replacementimaging supervisionperi-operative programmingcardiology

Billing Code Overview

HCPCS Level II code C9750 describes the insertion or removal and replacement of an intracardiac ischemia monitoring system, including imaging supervision and interpretation and peri-operative interrogation and programming. The code applies to procedures involving the complete system, which includes both the implanted device and electrode.

Service type: Implantation, removal, or replacement of an intracardiac ischemia monitoring system with associated imaging guidance and device programming
Typical site of service: Hospital operating room or cardiac catheterization laboratory

Clinical & Coding Specifications

Clinical Context

A typical patient is a 58-year-old with exertional angina and equivocal noninvasive ischemia testing who undergoes implantation of an intracardiac ischemia monitoring system to continuously record myocardial ischemia and correlate symptoms with electrocardiographic changes. The procedure is performed in an electrophysiology or cardiac catheterization laboratory under conscious sedation or monitored anesthesia care. Pre-procedure workflow includes device and lead selection, informed consent, baseline interrogation and programming, peri-procedural antibiotic prophylaxis, and vascular access. The operative steps include vascular access (usually femoral or subclavian), transvenous placement of the electrode into the right ventricular endocardium or coronary sinus as indicated, connection to the pulse generator, device placement in a subcutaneous pocket, intraoperative imaging or fluoroscopy for lead positioning, device interrogation and program customization, and wound closure. Post-procedure workflow includes immediate device interrogation, telemetry monitoring for arrhythmia or lead issues, discharge instructions regarding wound care and activity restrictions, and scheduled outpatient device checks for data review and long-term programming adjustments.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	When billing separately for physician interpretation of device-related imaging or monitoring distinct from the technical implant service.

HCPCS Level II C9058: Pegfilgrastim-bmez (Ziextenzo) 0.5 mg Injection

HCPCS-C1888-IMPLANTABLE-ENDOVASCULAR-NON-CARDIAC-ABLATION-CATHETER

HCPCS C1888: Implantable Endovascular Catheter for Non-Cardiac Ablation

HCPCS-C9788-OPTO-ACOUSTIC-BREAST-IMAGING-WITH-ULTRASOUND

HCPCS C9788: Opto-Acoustic Breast Imaging with Ultrasound

HCPCS-C1898-PACEMAKER-LEAD-NON-TRANSVENOUS-VDD-SINGLE-PASS

HCPCS C1898: Pacemaker Lead, Non-Transvenous VDD Single-Pass

HCPCS-C9605-BYPASS-GRAFT-BRANCH-REVASCULARIZATION-ADD-ON

HCPCS C9605: Bypass Graft Branch Revascularization, Add-on

HCPCS-C9059-MELOXICAM-INJECTION-1MG

HCPCS C9059: Injection, Meloxicam, 1 mg

HCPCS-C9301-CD19-CAR-T-CELL-THERAPY-OBECABTAGENE-AUTOLEUCEL

HCPCS C9301: Obecabtagene Autoleucel, CD19 CAR T-cell Therapy

HCPCS-C9364-PORCINE-PERMACOL-IMPLANT-PER-CM2

HCPCS C9364: Porcine Implant (Permacol) Per Square Centimeter

HCPCS-C9057-INJECTION-CETIRIZINE-1MG

HCPCS C9057: Injection, Cetirizine Hydrochloride 1 mg

HCPCS-C1747-DISPOSABLE-URINARY-ENDOSCOPE-IMAGING

HCPCS C1747: Disposable Urinary Tract Endoscope, Imaging/Illumination

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Taxonomy Code	Specialty	Notes
`207RH0000X`	Cardiology	Interventional and device implantation expertise for intracardiac monitoring systems.
`207RA0000X`	Cardiac Electrophysiology	Physicians who perform device implantation, programming, and interpretation.
`207RC0000X`	Internal Medicine (Cardiology focus)	Cardiologists involved in pre- and post-implant management and follow-up.
`363A00000X`	Nurse Practitioner	Advanced practice clinicians who assist in device clinics and interrogations.
`367500000X`	Physician Assistant	Procedural assistance and device follow-up under supervising physician.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I20.9`	Angina pectoris, unspecified	Common indication when ischemic symptoms require prolonged monitoring for correlation with events.
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Underlying coronary artery disease often prompts consideration of prolonged ischemia monitoring.
`R07.9`	Chest pain, unspecified	Symptom-driven indication for implantable monitoring to define ischemic vs non-ischemic causes.
`I49.9`	Cardiac arrhythmia, unspecified	Arrhythmic symptoms may coexist; monitoring device can capture ischemia-triggered arrhythmias.
`Z45.2`	Encounter for adjustment and management of cardiac pacemaker	Follow-up and device management coding related to implanted cardiac electrical devices and programming.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`33207`	Insertion of pacing cardioverter-defibrillator, single or dual lead, epicardial or transvenous; with transvenous lead(s) only	May be performed in patients needing implantable cardiac devices; shares operating room and device setup workflow though for therapeutic rather than monitoring indications.
`33208`	Insertion of pacing cardioverter-defibrillator, single or dual lead, with epicardial or transvenous lead(s) and subcutaneous pocket	Related in that generator pocket creation and lead tunneling techniques overlap with intracardiac monitoring system implantation.
`93268`	Interrogation device evaluation (in-person) with programming when performed; of a cardiac device, with analysis and report	Used for peri-operative interrogation and later outpatient device checks for the intracardiac ischemia monitoring system.
`93306`	Echocardiography, transthoracic, real-time with image documentation (2D), with spectral Doppler and color flow Doppler	May be used peri-procedurally if imaging assessment of cardiac function is required during implantation.
`93010`	Electrocardiogram, interpretation and report only	Used to document baseline and peri-procedural ECGs correlated with monitored ischemic events captured by the device.

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