How To Use HCPCS Code C9057

HCPCS code C9057 describes the injection of cetirizine hydrochloride, 1 mg. This code is used to identify the administration of cetirizine hydrochloride via injection. In this article, we will explore the details of HCPCS code C9057, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C9057?

HCPCS code C9057 is used to identify the injection of cetirizine hydrochloride, 1 mg. This code specifically refers to the administration of cetirizine hydrochloride through an injection. It is important to note that this code is specific to cetirizine hydrochloride and should not be used for other medications or substances.

2. Official Description

The official description of HCPCS code C9057 is “Injection, cetirizine hydrochloride, 1 mg.” This description accurately represents the purpose of this code, which is to identify the administration of cetirizine hydrochloride through an injection. The short description for this code is “Enteral supp not otherwise c,” indicating that this code is used for enteral supplementation that does not fall under any other specific category.

3. Procedure

1. Prepare the cetirizine hydrochloride injection according to the manufacturer’s instructions.
2. Verify the patient’s identity and confirm the need for cetirizine hydrochloride injection.
3. Select an appropriate injection site, ensuring proper aseptic technique.
4. Administer the cetirizine hydrochloride injection using the appropriate needle and syringe.
5. Monitor the patient for any adverse reactions or complications following the injection.

4. When to use HCPCS code C9057

HCPCS code C9057 should be used when administering cetirizine hydrochloride through an injection. This code is specifically for enteral supplementation that does not fall under any other specific category. It is important to ensure that the administration of cetirizine hydrochloride meets the criteria for using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9057, healthcare providers need to document the administration of cetirizine hydrochloride through an injection. This documentation should include the dosage administered, the date and time of the injection, and any relevant patient information. Additionally, providers should follow the appropriate billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9057 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. This code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, indicating that it is not applicable as HCPCS priced under one methodology. 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

Medicare and insurance coverage for HCPCS code C9057 may vary. It is important to check with the specific insurance carrier to determine if this code is payable. The pricing indicator code of 57 suggests that the pricing for this code is determined by other carriers. Providers should review the Medicare Carriers Manual Reference Section Number 2130 for any specific coverage instructions or guidelines that may apply to this code.

8. Examples

Here are five examples of when HCPCS code C9057 should be billed:

1. A patient with severe allergies requires an injection of cetirizine hydrochloride to manage their symptoms.
2. A healthcare provider administers a cetirizine hydrochloride injection to a patient who is unable to take the medication orally.
3. A patient undergoing a medical procedure requires cetirizine hydrochloride to prevent an allergic reaction.
4. A patient with chronic hives receives regular injections of cetirizine hydrochloride for symptom control.
5. A healthcare provider administers a cetirizine hydrochloride injection to a patient with an acute allergic reaction.