How To Use HCPCS Code C8930

HCPCS code C8930 describes the procedure of transthoracic echocardiography, with or without contrast, real-time with image documentation (2D), including m-mode recording, during rest and cardiovascular stress test using treadmill, bicycle exercise, and/or pharmacologically induced stress. This code also includes the performance of continuous electrocardiographic monitoring, with physician supervision.

1. What is HCPCS C8930?

HCPCS code C8930 is used to identify the specific procedure of transthoracic echocardiography, which is a non-invasive imaging technique used to assess the structure and function of the heart. This procedure involves the use of ultrasound waves to create detailed images of the heart’s chambers, valves, and blood flow. The addition of contrast may be used to enhance the visualization of certain areas or to evaluate blood flow abnormalities.

2. Official Description

The official description of HCPCS code C8930 is “Transthoracic echocardiography, with contrast, or without contrast followed by with contrast, real-time with image documentation (2D), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with physician supervision.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The provider begins by preparing the patient for the transthoracic echocardiography procedure.
2. The patient may be asked to remove clothing from the upper body and put on a gown.
3. The provider applies gel to the patient’s chest to improve the transmission of sound waves.
4. A transducer, which emits and receives ultrasound waves, is placed on different areas of the chest to obtain images of the heart.
5. The provider captures real-time images of the heart’s structures and records m-mode images, if necessary.
6. If contrast is used, it may be administered intravenously to enhance the visualization of specific areas.
7. The provider may perform the echocardiography during rest or in combination with a cardiovascular stress test, which can be achieved through treadmill exercise, bicycle exercise, or pharmacologically induced stress.
8. Continuous electrocardiographic monitoring is performed throughout the procedure to assess the patient’s heart rhythm.
9. The provider interprets the obtained images and prepares a report documenting the findings.

4. When to use HCPCS code C8930

HCPCS code C8930 should be used when a healthcare provider performs transthoracic echocardiography with or without contrast during rest and cardiovascular stress testing. This code is applicable when the procedure includes real-time imaging, m-mode recording, continuous electrocardiographic monitoring, and interpretation with a report. It is important to ensure that all the components mentioned in the code description are performed to accurately use this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8930, healthcare providers need to document the following:

• Medical necessity for performing the transthoracic echocardiography procedure
• Details of the procedure, including whether contrast was used and the type of stress test performed
• Interpretation of the obtained images and any significant findings
• Continuous electrocardiographic monitoring throughout the procedure
• Physician supervision during the procedure

6. Historical Information and Code Maintenance

HCPCS code C8930 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 C8930 is covered by Medicare. 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. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions related to billing and coverage.

8. Examples

Here are five examples of when HCPCS code C8930 should be billed:

1. A patient undergoes transthoracic echocardiography with contrast during a cardiovascular stress test on a treadmill.
2. A patient undergoes transthoracic echocardiography without contrast followed by with contrast during a pharmacologically induced stress test.
3. A patient undergoes transthoracic echocardiography with contrast during a rest period for evaluation of a suspected heart condition.
4. A patient undergoes transthoracic echocardiography without contrast followed by with contrast during a combination of treadmill exercise and bicycle exercise stress test.
5. A patient undergoes transthoracic echocardiography with contrast during a cardiovascular stress test using pharmacologically induced stress.