How To Use HCPCS Code C9101

HCPCS code C9101 describes the injection of oliceridine, with a dosage of 0.1 mg. This code is used to identify the administration of oliceridine through enteral support, when no other specific code is applicable. It falls under the category of enteral/parenteral nutrients/supplies, and is effective for billing purposes since January 1, 1996.

1. What is HCPCS C9101?

HCPCS code C9101 is a specific code used in medical coding to identify the injection of oliceridine, with a dosage of 0.1 mg. It is important to use this code accurately to ensure proper billing and documentation of the procedure.

2. Official Description

The official description of HCPCS code C9101 is “Injection, oliceridine, 0.1 mg”. The short description for this code is “Enteral supp not otherwise c”. These descriptions provide a clear understanding of the procedure being performed.

3. Procedure

1. The provider prepares the oliceridine injection, ensuring the dosage is 0.1 mg.
2. The provider verifies the patient’s medical history and confirms the need for the oliceridine injection.
3. The provider administers the injection through enteral support, following proper medical protocols and guidelines.
4. The provider monitors the patient’s response to the injection and records any relevant observations.
5. After the procedure, the provider documents the administration of oliceridine, including the dosage and any associated complications or side effects.

4. When to use HCPCS code C9101

HCPCS code C9101 should be used when the provider administers an enteral injection of oliceridine with a dosage of 0.1 mg. It is important to ensure that no other specific code is applicable for the procedure being performed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9101, healthcare providers need to document the administration of oliceridine, including the dosage and any relevant details. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9101 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 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 C9101 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A means that the code is not applicable as HCPCS priced under one methodology. It is important to verify coverage and reimbursement policies with the respective insurance providers.

8. Examples

Here are five examples of when HCPCS code C9101 should be billed:

1. A patient with severe pain is administered an enteral injection of oliceridine, with a dosage of 0.1 mg, to manage their pain effectively.
2. A post-operative patient requires pain relief and is given an enteral injection of oliceridine, with a dosage of 0.1 mg, to alleviate their discomfort.
3. A patient with a chronic condition experiences a sudden increase in pain and is administered an enteral injection of oliceridine, with a dosage of 0.1 mg, to provide immediate relief.
4. An emergency room patient with severe trauma requires pain management and is given an enteral injection of oliceridine, with a dosage of 0.1 mg, to address their pain effectively.
5. A patient undergoing a medical procedure that may cause discomfort is administered an enteral injection of oliceridine, with a dosage of 0.1 mg, to ensure their comfort throughout the procedure.