How To Use HCPCS Code C8910

HCPCS code C8910 describes a specific medical procedure known as magnetic resonance angiography without contrast, specifically for the chest (excluding myocardium). This code is used to identify and bill for this particular diagnostic imaging procedure. In this article, we will delve into the details of HCPCS code C8910, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C8910?

HCPCS code C8910 is a specific code used to identify and bill for magnetic resonance angiography without contrast for the chest (excluding myocardium). This procedure involves the use of magnetic resonance imaging (MRI) technology to visualize the blood vessels in the chest area, providing detailed images for diagnostic purposes. It is important to note that this code specifically excludes the imaging of the myocardium, which refers to the muscular tissue of the heart.

2. Official Description

The official description of HCPCS code C8910 is “Magnetic resonance angiography without contrast, chest (excluding myocardium).” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider prepares the patient for the magnetic resonance angiography procedure by explaining the process and obtaining informed consent.
2. The patient is positioned on the MRI table, usually lying on their back.
3. The provider may administer a contrast agent intravenously if necessary for enhanced visualization of the blood vessels.
4. The MRI machine is used to capture detailed images of the chest area, focusing on the blood vessels of interest.
5. During the procedure, the patient must remain still to ensure clear and accurate images.
6. Once the imaging is complete, the patient can be removed from the MRI machine.
7. The images obtained are then analyzed and interpreted by a radiologist or other qualified healthcare professional.

4. When to use HCPCS code C8910

HCPCS code C8910 should be used when performing magnetic resonance angiography without contrast specifically for the chest, excluding the myocardium. It is important to ensure that the procedure performed aligns with the official description of the code to accurately bill for the service.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8910, healthcare providers need to ensure proper documentation of the procedure performed. This includes documenting the specific details of the magnetic resonance angiography without contrast for the chest, excluding the myocardium. Additionally, providers should include any relevant information regarding the need for contrast administration, if applicable.

6. Historical Information and Code Maintenance

HCPCS code C8910 was added to the Healthcare Common Procedure Coding System on January 01, 1985. As of the effective date of January 01, 1996, no maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code C8910 may vary. It is important to consult the Medicare Carriers Manual and specific insurance guidelines for coverage instructions and reimbursement details. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C8910 should be billed:

1. A patient presents with symptoms of chest pain, and a magnetic resonance angiography without contrast is performed to evaluate the blood vessels in the chest for any abnormalities.
2. A follow-up magnetic resonance angiography without contrast is conducted for a patient with a known history of vascular disease to monitor the progression of the condition.
3. A pre-operative assessment requires a magnetic resonance angiography without contrast to assess the blood vessels in the chest before a surgical procedure.
4. A patient with a suspected pulmonary embolism undergoes a magnetic resonance angiography without contrast to visualize the pulmonary arteries and confirm the diagnosis.
5. A research study requires magnetic resonance angiography without contrast for the evaluation of specific chest blood vessels in a group of participants.