How To Use HCPCS Code C8934

HCPCS code C8934 describes a specific medical procedure known as magnetic resonance angiography with contrast for the upper extremity. This code is used to identify and bill for this particular diagnostic imaging test. In this article, we will explore the details of HCPCS code C8934, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage. Let’s dive in!

1. What is HCPCS C8934?

HCPCS code C8934 is a specific code used to identify and bill for magnetic resonance angiography with contrast for the upper extremity. This procedure involves the use of magnetic resonance imaging (MRI) technology to visualize the blood vessels in the upper extremity, such as the arms and hands. The contrast agent is administered to enhance the visibility of the blood vessels during the imaging process. It is important to note that this code specifically refers to the upper extremity and should not be used for other body parts or regions.

2. Official Description

The official description of HCPCS code C8934 is “Magnetic resonance angiography with contrast, upper extremity.” 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 magnetic resonance angiography with contrast for the upper extremity.

3. Procedure

1. The patient is positioned on the MRI table, ensuring that the upper extremity to be imaged is properly placed within the scanner.
2. A contrast agent is administered to the patient, either orally or intravenously, depending on the specific requirements of the procedure.
3. The MRI scanner is activated, and the imaging process begins. The magnetic fields and radio waves generated by the scanner create detailed images of the blood vessels in the upper extremity.
4. The imaging process may take several minutes to complete, during which the patient is required to remain still.
5. Once the imaging is finished, the patient can be safely removed from the MRI scanner.

4. When to use HCPCS code C8934

HCPCS code C8934 should be used when performing magnetic resonance angiography with contrast specifically for the upper extremity. It is important to ensure that the procedure is limited to the upper extremity and not extended to other body parts or regions. This code is typically used for diagnostic purposes to evaluate the blood vessels in the arms and hands for various medical conditions or abnormalities.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C8934, healthcare providers need to ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include the patient’s medical history, relevant clinical findings, and the physician’s order for the test. Additionally, providers should 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 C8934 was added to the Healthcare Common Procedure Coding System on January 01, 1985. Since its addition, 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 suggests that the code has remained unchanged since its inception, indicating its stability and consistency in the coding system.

7. Medicare and Insurance Coverage

HCPCS code C8934 is eligible for coverage under Medicare and other insurance plans. The pricing indicator code for this code is 57, which signifies that it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement for this specific code.

8. Examples

Here are some examples of scenarios where HCPCS code C8934 would be appropriate:

1. A patient presents with symptoms of peripheral artery disease in their upper extremity. The physician orders a magnetic resonance angiography with contrast to evaluate the blood vessels and determine the extent of the disease.
2. An individual sustains a traumatic injury to their arm, resulting in suspected vascular damage. The healthcare provider performs a magnetic resonance angiography with contrast to assess the blood flow and identify any potential vascular abnormalities.
3. A patient with a history of blood clotting disorders undergoes routine monitoring of their upper extremity blood vessels using magnetic resonance angiography with contrast to detect any signs of clot formation or other vascular complications.
4. A physician suspects the presence of an arteriovenous malformation in a patient’s hand. To confirm the diagnosis and plan appropriate treatment, a magnetic resonance angiography with contrast is performed to visualize the blood vessels in the affected area.
5. A patient with chronic pain and swelling in their arm undergoes a magnetic resonance angiography with contrast to rule out any vascular abnormalities contributing to their symptoms.