How To Use HCPCS Code C8933

HCPCS code C8933 describes a specific medical procedure known as magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents. This code is used to identify and bill for this particular procedure, and it is important for medical coders to understand its meaning and usage. In this article, we will delve into the details of HCPCS code C8933, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C8933?

HCPCS code C8933 is a specific code used to identify the medical procedure of magnetic resonance angiography without contrast followed by with contrast, focusing on the spinal canal and its contents. This procedure involves the use of magnetic resonance imaging (MRI) technology to visualize the blood vessels in the spinal canal and surrounding structures. It is typically performed to diagnose and evaluate conditions such as spinal stenosis, vascular malformations, and tumors.

2. Official Description

The official description of HCPCS code C8933 is “Magnetic resonance angiography without contrast followed by with contrast, spinal canal and contents.” The short description for this code is “Parenteral supp not othrws c.” These descriptions accurately represent the specific procedure that this code identifies.

3. Procedure

1. The procedure of HCPCS code C8933 begins with the patient being positioned on the MRI table, usually lying on their back.
2. The healthcare provider will then administer a contrast agent, either orally or intravenously, to enhance the visibility of the blood vessels during the imaging process.
3. The MRI machine will be used to capture detailed images of the spinal canal and its contents, including the blood vessels.
4. The images obtained will be reviewed and interpreted by a radiologist or other qualified healthcare professional.
5. The results of the procedure will be used to aid in the diagnosis and treatment planning for the patient’s condition.

4. When to use HCPCS code C8933

HCPCS code C8933 should be used when performing magnetic resonance angiography without contrast followed by with contrast specifically for the evaluation of the spinal canal and its contents. It is important to ensure that the procedure meets the criteria outlined in the official description and is medically necessary for the patient’s condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8933, healthcare providers need to ensure that proper documentation is maintained to support the medical necessity of the procedure. This may include the patient’s medical history, clinical notes, and any relevant diagnostic test results. Additionally, it is important to follow the specific billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C8933 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.

7. Medicare and Insurance Coverage

HCPCS code C8933 is eligible for coverage by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the service or supply 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 understand the specific pricing and coverage guidelines set forth by Medicare and other insurance carriers to ensure proper reimbursement.

8. Examples

Here are five examples of when HCPCS code C8933 should be billed:

1. A patient presents with symptoms of spinal stenosis, and their healthcare provider orders a magnetic resonance angiography without contrast followed by with contrast to evaluate the blood vessels in the spinal canal.
2. A patient with a known vascular malformation in the spinal canal undergoes a magnetic resonance angiography without contrast followed by with contrast to assess the extent and characteristics of the malformation.
3. A patient with a suspected spinal tumor undergoes a magnetic resonance angiography without contrast followed by with contrast to determine the tumor’s relationship with the surrounding blood vessels.
4. A patient with a history of spinal surgery experiences recurrent symptoms, and their healthcare provider orders a magnetic resonance angiography without contrast followed by with contrast to evaluate the integrity of the blood vessels in the operated area.
5. A patient with unexplained back pain undergoes a magnetic resonance angiography without contrast followed by with contrast to rule out any vascular abnormalities as the cause of their symptoms.