How To Use HCPCS Code C8929

HCPCS code C8929 describes the procedure of transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography. This code is used to identify and bill for this specific diagnostic procedure.

1. What is HCPCS C8929?

HCPCS code C8929 is a specific code used to identify the procedure of transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography. It is a diagnostic procedure that provides detailed images of the heart using sound waves.

2. Official Description

The official description of HCPCS code C8929 is “Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography.” The short description is “Parenteral supp not othrws c.”

3. Procedure

  1. The provider begins by preparing the patient for the procedure, ensuring that they are in a comfortable position.
  2. A transducer, which emits sound waves, is placed on the patient’s chest.
  3. The provider applies a gel to the patient’s chest to improve the quality of the images.
  4. The transducer is moved across the chest to capture images of the heart from different angles.
  5. If contrast is used, it may be injected into the patient’s bloodstream to enhance the visualization of the heart.
  6. The provider uses real-time imaging to capture 2D images of the heart.
  7. M-mode recording may be performed to assess the motion of the heart’s structures.
  8. Spectral doppler echocardiography is used to evaluate blood flow through the heart.
  9. Color flow doppler echocardiography is used to assess the direction and velocity of blood flow.
  10. The provider documents the images and findings for further analysis and interpretation.

4. When to use HCPCS code C8929

HCPCS code C8929 should be used when performing transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, complete, with spectral doppler echocardiography, and with color flow doppler echocardiography. This code is applicable for patients who require a detailed assessment of their heart’s structure and function.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8929, healthcare providers should ensure that they document the complete procedure, including the use of contrast, if applicable, and any additional components such as m-mode recording, spectral doppler echocardiography, and color flow doppler echocardiography. The documentation should support the medical necessity of the procedure and provide sufficient information for accurate billing.

6. Historical Information and Code Maintenance

HCPCS code C8929 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an 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.

7. Medicare and Insurance Coverage

HCPCS code C8929 may be 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, which means it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage instructions and guidelines.

8. Examples

Here are five examples of when HCPCS code C8929 should be billed:

  1. A patient with suspected heart disease undergoes transthoracic echocardiography with contrast to assess the function and structure of the heart.
  2. A patient with a history of heart valve abnormalities undergoes transthoracic echocardiography with color flow doppler to evaluate the blood flow through the heart valves.
  3. A patient with symptoms of heart failure undergoes transthoracic echocardiography with spectral doppler to assess the function of the heart’s chambers and valves.
  4. A patient with a known congenital heart defect undergoes transthoracic echocardiography with m-mode recording to evaluate the motion of the heart’s structures.
  5. A patient with a history of myocardial infarction undergoes transthoracic echocardiography without contrast followed by with contrast to assess the extent of damage to the heart muscle.

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