How To Use HCPCS Code C8918

HCPCS code C8918 describes a specific medical procedure known as magnetic resonance angiography with contrast of the pelvis. This code is used to identify and bill for this particular diagnostic imaging test, which involves the use of magnetic resonance imaging (MRI) technology to visualize the blood vessels in the pelvic region. In this article, we will explore the details of HCPCS code C8918, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C8918?

HCPCS code C8918 is a specific code used to identify and bill for magnetic resonance angiography with contrast of the pelvis. This procedure involves the use of contrast agents and MRI technology to obtain detailed images of the blood vessels in the pelvic region. It is typically performed to diagnose and evaluate conditions such as pelvic vascular abnormalities, tumors, or other abnormalities affecting the blood vessels in this area.

2. Official Description

The official description of HCPCS code C8918 is “Magnetic resonance angiography with contrast, pelvis.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and scope of the procedure, indicating that it involves the use of contrast agents during a magnetic resonance angiography of the pelvis.

3. Procedure

1. The patient is positioned on the MRI table, usually lying on their back.
2. A contrast agent is administered to the patient, either orally or intravenously, depending on the specific requirements of the procedure.
3. The patient is then moved into the MRI machine, which uses a powerful magnetic field and radio waves to create detailed images of the blood vessels in the pelvis.
4. The MRI machine captures multiple images from different angles, allowing the radiologist to visualize the blood vessels and identify any abnormalities or blockages.
5. The images obtained from the procedure are reviewed and interpreted by a radiologist, who generates a report with their findings.

4. When to use HCPCS code C8918

HCPCS code C8918 should be used when performing a magnetic resonance angiography with contrast of the pelvis. This procedure is typically indicated when there is a suspected vascular abnormality or pathology in the pelvic region that requires further evaluation. It is important to ensure that the medical necessity criteria for this procedure are met before using this code for billing purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8918, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include the physician’s order for the test, clinical notes indicating the reason for the procedure, and any relevant diagnostic findings or symptoms. Additionally, providers should follow the specific billing guidelines and requirements of the insurance carrier or Medicare to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C8918 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 to the system.

7. Medicare and Insurance Coverage

HCPCS code C8918 may be covered by Medicare and other insurance providers, subject to specific coverage policies and guidelines. The pricing indicator code 57 indicates that this code is priced by other carriers, and the multiple pricing indicator code A indicates that it is not applicable as HCPCS priced under one methodology. Healthcare providers should verify the coverage and reimbursement policies of the respective insurance carriers to ensure proper billing and reimbursement for this procedure.

8. Examples

Here are five examples of scenarios where HCPCS code C8918 may be used for billing:

1. A patient presents with unexplained pelvic pain, and a magnetic resonance angiography with contrast is ordered to evaluate for possible vascular causes.
2. A patient with a known pelvic vascular abnormality undergoes regular follow-up magnetic resonance angiography with contrast to monitor the progression of the condition.
3. A patient with a suspected pelvic tumor requires a magnetic resonance angiography with contrast to assess the extent of vascular involvement.
4. A patient with a history of pelvic trauma undergoes a magnetic resonance angiography with contrast to evaluate for any vascular injuries or complications.
5. A patient with a suspected pelvic venous thrombosis is referred for a magnetic resonance angiography with contrast to confirm the diagnosis and assess the extent of the thrombus.