Top billers · Codes · C-codes · C1778

C1778: reimbursement & related procedures.

C1778 is the HCPCS Level II device code (often searched as CPT C1778) for: Lead, neurostimulator (implantable). No public Medicare dataset shows who bills C1778: this class of device code never appears as its own paid line in Medicare's public claims files.

The reimbursement

What does Medicare pay for C1778?

C1778 is a packaged device code under Medicare's hospital outpatient system (OPPS status indicator N): its cost is bundled into the APC payment for the procedure it's used in. There is no separate payment, no APC of its own, and no fee-schedule rate to quote. In ambulatory surgical centers it is packaged into the surgical procedure's ASC payment: no separate payment.

OPPS status indicatorN

APCNone of its own: cost rides the procedure's APC

ASC payment indicatorN1: packaged into the surgical procedure's ASC payment: no separate payment

Fee schedule2026 OPPS Addendum B / ASC addenda

The honest answer

Why nobody can show you who bills C1778.

No public CMS dataset carries C1778 utilization, at any grain. Its cost is packaged into the facility's APC payment for the procedure it rides in (the OPPS status N packaging class), so the code never appears as its own paid line in Medicare's public claims files. The Medicare-visible side is the procedure, not the device.

Per-claim C-code detail exists only in restricted CMS research files that can't be used in a commercial product. So any site offering a "C1778 top billers" list is showing you something other than real data. We'd rather show you what actually exists: the procedures below are where this device shows up in Medicare's public data, and each one has a real who-bills answer.

New to this code class? Read how C-codes are reimbursed.

The visible side

The procedures C1778 rides with.

The device is invisible in the claims data. The procedures it's used in are not: each row below is public 2024 Medicare data.

Code	Procedure (CMS description)	Providers (2024)	Services
63650	Insertion of spinal neurostimulator electrode array through…	1,374	79,790
63685	Insertion or replacement of spinal neurostimulator…	1,210	27,098
64590	Insertion or replacement of peripheral, sacral, or gastric…	576	12,311
63655	Removal of spine bone for insertion of neurostimulator…	207	3,963

The device never gets a public line. The procedures do. Prospect 811 ranks who performs them in your exact territory, with phone numbers and year-over-year history.

See who does these procedures →

Device makers in this space disclose payments to clinicians under the Sunshine Act: state-by-state industry payments →

Where this comes from. Payment status is CMS's own 2026 OPPS Addendum B and ASC addenda, labeled with the file year; codes with no separate payment render CMS's status in words, never a fake $0. Device-procedure pairings come from CMS's published pairings for pass-through devices plus the procedure codes each device class is documented to ride with. Related-procedure counts come from CMS's public Medicare Provider Utilization & Payment data for 2024 (traditional fee-for-service only; lines under 11 beneficiaries are suppressed by CMS before publication). No public CMS file carries per-code utilization for these device codes at any grain, and these pages say so instead of inventing it. Code descriptions are CMS's own HCPCS Level II text. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

More C-codes:
C1762 C1776 C1713 C1876 C1874 C2617 C1721 C1781 C1761 C1733 C2616 C1786 C1764 C1062 C1734 C2624 C1813 C1817 C1749 C1747 C1601 C1602 C1735 C1765 → how C-codes are paid

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