How To Use HCPCS Code C8920

HCPCS code C8920 describes a specific medical procedure known as magnetic resonance angiography without contrast followed by with contrast of the pelvis. This code is used to identify and bill for this particular diagnostic imaging procedure.

1. What is HCPCS C8920?

HCPCS code C8920 is a specific alphanumeric code that is used in medical coding to identify a particular procedure or service. In the case of C8920, it represents a magnetic resonance angiography (MRA) of the pelvis without contrast followed by with contrast. This procedure is a non-invasive imaging technique that uses magnetic fields and radio waves to create detailed images of the blood vessels in the pelvis.

2. Official Description

The official description of HCPCS code C8920 is “Magnetic resonance angiography without contrast followed by with contrast, pelvis”. The short description for this code is “Enteral supp not otherwise c”. This description accurately reflects the specific procedure that this code represents.

3. Procedure

1. The patient is positioned on a table that slides into the MRI machine.
2. The technologist will ensure that the patient is comfortable and properly positioned for the procedure.
3. The MRI machine uses a strong magnetic field and radio waves to create detailed images of the blood vessels in the pelvis.
4. Initially, the procedure is performed without the use of contrast material.
5. After the initial images are obtained, a contrast material is administered to the patient.
6. Additional images are then taken to visualize the blood vessels with the contrast material present.
7. The procedure is typically completed within a specific time frame, depending on the imaging protocol and the patient’s condition.

4. When to use HCPCS code C8920

HCPCS code C8920 is used when a healthcare provider performs a magnetic resonance angiography of the pelvis without contrast followed by with contrast. This procedure is typically ordered to evaluate the blood vessels in the pelvis for various conditions, such as vascular abnormalities, tumors, or other abnormalities that may affect blood flow.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8920, healthcare providers should ensure that the medical documentation supports the medical necessity of the procedure. This may include the reason for the test, relevant clinical findings, and any other pertinent information. Additionally, providers should follow the appropriate coding and billing guidelines set forth by Medicare or other insurance payers.

6. Historical Information and Code Maintenance

HCPCS code C8920 was added to the Healthcare Common Procedure Coding System on January 01, 1985. As of the effective date of January 01, 1996, there have been no maintenance actions 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 HCPCS.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the magnetic resonance angiography procedure described by HCPCS code C8920. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. However, coverage and reimbursement may vary depending on the specific insurance plan and the medical necessity of the procedure.

8. Examples

Here are five examples of scenarios in which HCPCS code C8920 may be billed:

1. A patient with a suspected pelvic vascular abnormality undergoes a magnetic resonance angiography without contrast followed by with contrast to evaluate the blood vessels in the pelvis.
2. A patient with a known pelvic tumor requires a magnetic resonance angiography to assess the tumor’s vascularity and its impact on nearby blood vessels.
3. A patient with chronic pelvic pain undergoes a magnetic resonance angiography to rule out any vascular causes for their symptoms.
4. A patient with a history of pelvic trauma undergoes a magnetic resonance angiography to assess the integrity of the blood vessels in the pelvis.
5. A patient with a suspected pelvic venous congestion syndrome undergoes a magnetic resonance angiography to evaluate the venous circulation in the pelvis.