How To Use HCPCS Code C8914

HCPCS code C8914 describes a specific medical procedure known as magnetic resonance angiography without contrast followed by with contrast of the lower extremity. 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 C8914, 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 C8914?

HCPCS code C8914 is a unique alphanumeric code that is used to identify a specific medical procedure. In this case, it represents a magnetic resonance angiography without contrast followed by with contrast of the lower extremity. This procedure involves the use of magnetic resonance imaging (MRI) technology to visualize the blood vessels in the lower extremities. It is typically performed to evaluate the presence of any abnormalities or blockages in the blood vessels, such as peripheral artery disease.

2. Official Description

The official description of HCPCS code C8914 is “Magnetic resonance angiography without contrast followed by with contrast, lower extremity.” The short description for this code is “Parenteral supp not othrws c.” This description accurately reflects the nature of the procedure and provides a concise summary of what it entails.

3. Procedure

1. The provider begins by preparing the patient for the procedure, which may involve obtaining a detailed medical history and ensuring the patient’s safety during the imaging process.
2. The patient is positioned on the MRI table, usually lying flat on their back.
3. The lower extremity to be imaged is positioned within the MRI machine, ensuring proper alignment for optimal imaging.
4. The MRI machine generates a strong magnetic field and uses radio waves to create detailed images of the blood vessels in the lower extremity.
5. If necessary, a contrast agent may be administered intravenously to enhance the visibility of the blood vessels.
6. The MRI machine captures a series of images, which are then processed and interpreted by a radiologist or other qualified healthcare professional.
7. The results of the magnetic resonance angiography are documented and used to aid in the diagnosis and treatment of the patient’s condition.

4. When to use HCPCS code C8914

HCPCS code C8914 should be used when performing a magnetic resonance angiography without contrast followed by with contrast of the lower extremity. This procedure is typically indicated when there is a suspected vascular abnormality or blockage in the blood vessels of the lower extremity. It may be used to evaluate conditions such as peripheral artery disease, deep vein thrombosis, or arterial aneurysms.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8914, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include the patient’s medical history, relevant clinical findings, and any prior diagnostic tests or imaging studies. Additionally, providers should accurately document the use of contrast agents, if applicable, and any other relevant details of the procedure. Proper coding and documentation are essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C8914 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 to the code since its addition. It is important for medical coders and billers to stay updated on any changes to HCPCS codes to ensure accurate coding and billing practices.

7. Medicare and Insurance Coverage

HCPCS code C8914 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. It is important for healthcare providers to familiarize themselves with the specific coverage policies of Medicare and other insurance plans to ensure proper reimbursement for the procedure.

8. Examples

Here are five examples of scenarios in which HCPCS code C8914 should be billed:

1. A patient presents with symptoms of peripheral artery disease and undergoes a magnetic resonance angiography without contrast followed by with contrast of the lower extremity to evaluate the blood flow in the affected limb.
2. A patient with a history of deep vein thrombosis undergoes a follow-up magnetic resonance angiography without contrast followed by with contrast of the lower extremity to assess the patency of the previously affected veins.
3. A patient with suspected arterial aneurysms in the lower extremity undergoes a magnetic resonance angiography without contrast followed by with contrast to visualize and measure the size of the aneurysms.
4. A patient with unexplained leg pain and swelling undergoes a magnetic resonance angiography without contrast followed by with contrast to rule out any vascular abnormalities in the lower extremity.
5. A patient with a known history of peripheral artery disease undergoes routine surveillance with a magnetic resonance angiography without contrast followed by with contrast to monitor the progression of the disease and assess the effectiveness of treatment.