How To Use HCPCS Code C8912

HCPCS code C8912 describes a specific medical procedure known as magnetic resonance angiography with contrast for the lower extremity. This code is used to identify and bill for the administration of contrast material during an MRI scan to visualize the blood vessels in the lower extremities. In this article, we will explore the details of HCPCS code C8912, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C8912?

HCPCS code C8912 is a specific code used to identify the procedure of magnetic resonance angiography with contrast for the lower extremity. This procedure involves the use of contrast material during an MRI scan to obtain detailed images of the blood vessels in the lower extremities. It is typically performed to diagnose and evaluate conditions such as peripheral artery disease, deep vein thrombosis, and vascular abnormalities.

2. Official Description

The official description of HCPCS code C8912 is “Magnetic resonance angiography with contrast, lower extremity.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The patient is positioned on the MRI table, usually lying flat on their back.
2. An intravenous (IV) line is inserted into the patient’s arm or hand to administer the contrast material.
3. The MRI machine is used to capture images of the lower extremities.
4. Contrast material is injected through the IV line to enhance the visibility of the blood vessels.
5. Multiple images are taken from different angles to create a comprehensive view of the lower extremity blood vessels.
6. The procedure is monitored by a radiologist or other qualified healthcare professional.

4. When to use HCPCS code C8912

HCPCS code C8912 should be used when performing magnetic resonance angiography with contrast specifically for the lower extremity. It is important to ensure that the procedure is performed according to the official description and guidelines associated with this code. It is also essential to document the medical necessity and indication for the procedure in the patient’s medical record.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8912, healthcare providers need to ensure proper documentation and adherence to billing guidelines. The following guidelines and requirements should be considered:

• Document the medical necessity for the procedure in the patient’s medical record.
• Include the specific indication for the magnetic resonance angiography with contrast for the lower extremity.
• Ensure accurate coding and description of the procedure on the claim form.
• Submit the claim with the appropriate modifiers, if applicable.
• Follow the billing guidelines and requirements of the specific insurance provider.

6. Historical Information and Code Maintenance

HCPCS code C8912 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C8912 is covered by Medicare and other insurance providers. 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. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code C8912 should be billed:

1. A patient with suspected peripheral artery disease undergoes magnetic resonance angiography with contrast for the lower extremity to evaluate the blood flow in the legs.
2. A patient with a history of deep vein thrombosis undergoes follow-up magnetic resonance angiography with contrast to monitor the condition of the blood vessels in the lower extremities.
3. A patient with a known vascular abnormality undergoes magnetic resonance angiography with contrast for the lower extremity to assess the extent and severity of the abnormality.
4. A patient with unexplained leg pain and swelling undergoes magnetic resonance angiography with contrast to rule out any vascular abnormalities.
5. A patient with a suspected blood clot in the lower extremity undergoes magnetic resonance angiography with contrast to confirm the diagnosis and determine the appropriate treatment.