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HCPCS C8014 · Level II · C code

C8014: Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, HCPCS Level II C code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update).

Key facts for C8014

Medicare payment
$5,477.93
OPPS rate, SI J1
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
MUE
none published
no MUE in the 2026 Q4 tables
OPPS status
SI J1
Hospital Part B services paid through a comprehensive APC
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II C8014 reads "Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed)" in the October 2026 file; it dates from 2026. Hospital outpatient departments are paid $5,477.93 for C8014 under status indicator J1, APC 5375 (Level 5 Urology and Related Services), minimum unadjusted copayment $1,095.59 (October 2026 Addendum B). No current LCD or billing article lists C8014; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). HCPCS record: BETOS P1G (major procedure - other); pricing indicator 11; type of service 2 (surgery). 4 other active codes open with "Cystourethroscopy"; related codes: C9739, C9740, C9761, C7550.

C8014 descriptor and code status

The October 2026 HCPCS Level II file describes C8014 as “Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed)”. It sits in the C section (hospital outpatient prospective payment system, temporary codes), listed with the other C codes.

HCPCS file attributes of C8014
FieldValue
Short descriptorCysto, litho, w suct sheath
Added to HCPCS2026-07-01
Last actionN (no maintenance), effective 2026-07-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator11: physician fee schedule, priced with national RVUs
BETOS categoryP1G: major procedure - other
Type of service2: surgery

Medicare payment for C8014

Hospital outpatient departments are paid $5,477.93 for C8014 under status indicator J1, APC 5375 (Level 5 Urology and Related Services), minimum unadjusted copayment $1,095.59 (October 2026 Addendum B). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Hospital outpatient (OPPS Addendum B)

Status indicator J1 (Hospital Part B services paid through a comprehensive APC), APC 5375 (Level 5 Urology and Related Services), national unadjusted payment $5,477.93 with a minimum unadjusted copayment of $1,095.59.

Ambulatory surgical center (Addendum AA)

Payment indicator J8 (Device-intensive procedure; paid at adjusted rate), national rate $3,451.70 at a payment weight of 61.2851. The multiple-procedure discount applies when it is billed with another ASC procedure.

Medically Unlikely Edits for C8014

CMS publishes no MUE for C8014 in the 2026 Q4 practitioner, facility or DME supplier tables. Some MUE values are confidential and applied without publication, so unit limits can still deny; document the quantity furnished on every claim.

The MUE lookup for C8014 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists C8014 in v323r0.

C8014 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check C8014 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for C8014

No current LCD or billing and coding article lists C8014. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on C8014

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units exceed what the payer considers medically likely for one date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for C8014 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for C8014 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS C8014

What does HCPCS code C8014 describe?

"Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, including use of a suction enabled ureteral access sheath, with irrigation (if performed)" (short descriptor "Cysto, litho, w suct sheath"), in the C section (hospital outpatient prospective payment system, temporary codes). Added 2026-07-01.

Is C8014 a CPT code?

No: CMS maintains C8014 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for C8014?

Hospital outpatient departments are paid $5,477.93 for C8014 under status indicator J1, APC 5375 (Level 5 Urology and Related Services), minimum unadjusted copayment $1,095.59 (October 2026 Addendum B).

Does Medicare cover C8014?

No current LCD or billing article lists C8014; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.