How To Use HCPCS Code C9359

HCPCS code C9359 describes a porous purified collagen matrix bone void filler known as Integra Mozaik Osteoconductive Scaffold Putty or Integra OS Osteoconductive Scaffold Putty. This code is used to identify the specific product and quantity used in medical procedures. In this article, we will explore the details of HCPCS code C9359, 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 C9359?

HCPCS code C9359 is a specific code used to identify the porous purified collagen matrix bone void filler, Integra Mozaik Osteoconductive Scaffold Putty or Integra OS Osteoconductive Scaffold Putty. This code represents a 0.5 cc quantity of the product. It is important for medical coders to accurately assign this code to ensure proper documentation and billing for the use of this specific bone void filler.

2. Official Description

The official description of HCPCS code C9359 is “Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty, Integra OS Osteoconductive Scaffold Putty), per 0.5 cc.” The short description for this code is “Parenteral supp not othrws c.” These descriptions provide a clear understanding of the product and quantity associated with this code.

3. Procedure

1. The provider prepares the surgical site and ensures the area is clean and sterile.
2. The Integra Mozaik Osteoconductive Scaffold Putty or Integra OS Osteoconductive Scaffold Putty is prepared according to the manufacturer’s instructions.
3. The provider applies the bone void filler to the desired area, ensuring proper coverage and placement.
4. The provider may use additional materials or techniques, as necessary, to secure the bone void filler in place.
5. The provider completes the procedure and documents the details for accurate billing and medical record keeping.

4. When to use HCPCS code C9359

HCPCS code C9359 should be used when a provider utilizes the Integra Mozaik Osteoconductive Scaffold Putty or Integra OS Osteoconductive Scaffold Putty as a bone void filler in a medical procedure. It is important to review the specific guidelines and eligibility criteria for using this code to ensure accurate coding and billing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9359, healthcare providers should ensure proper documentation of the procedure and the use of the Integra Mozaik Osteoconductive Scaffold Putty or Integra OS Osteoconductive Scaffold Putty. This may include documenting the quantity used, the surgical site, and any additional materials or techniques employed. Providers should follow the billing guidelines set forth by the payer to ensure proper reimbursement for the procedure.

6. Historical Information and Code Maintenance

HCPCS code C9359 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code C9359 may vary. The pricing indicator code for this code is 57, which indicates other carrier pricing. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should consult the Medicare Carriers Manual or other payer guidelines for specific coverage and reimbursement information.

8. Examples

Here are five examples of when HCPCS code C9359 should be billed:

1. A patient undergoes a spinal fusion surgery, and the surgeon utilizes Integra Mozaik Osteoconductive Scaffold Putty to fill a bone void in the vertebrae.
2. A patient undergoes a dental implant procedure, and the dentist uses Integra OS Osteoconductive Scaffold Putty to fill a bone void in the jaw.
3. A patient undergoes a reconstructive surgery after a traumatic injury, and the plastic surgeon utilizes Integra Mozaik Osteoconductive Scaffold Putty to fill a bone void in the affected area.
4. A patient undergoes a joint replacement surgery, and the orthopedic surgeon uses Integra OS Osteoconductive Scaffold Putty to fill a bone void around the implant.
5. A patient undergoes a bone graft procedure, and the surgeon utilizes Integra Mozaik Osteoconductive Scaffold Putty to promote bone regeneration in the graft site.