How To Use HCPCS Code C9399

HCPCS code C9399 describes an unclassified drug or biological that is used for parenteral administration. This code is specifically used for supplies that do not fall under any other category. In this article, we will explore the details of HCPCS code C9399, 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 C9399?

HCPCS code C9399 is used to identify unclassified drugs or biologicals that are administered through parenteral means. This code is specifically used for supplies that do not have a specific code assigned to them. It allows for the identification and billing of these unclassified supplies in medical coding and billing processes.

2. Official Description

The official description of HCPCS code C9399 is “Unclassified drugs or biologicals.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. When using HCPCS code C9399, the healthcare provider should ensure that the unclassified drug or biological is administered through parenteral means.
2. The provider should follow the appropriate guidelines and protocols for administering the specific drug or biological.
3. Documentation should be maintained regarding the administration of the unclassified drug or biological, including the dosage, route of administration, and any relevant patient information.

4. When to use HCPCS code C9399

HCPCS code C9399 should be used when the healthcare provider is administering an unclassified drug or biological through parenteral means. This code is used when there is no specific code available for the particular supply being administered. It is important to ensure that the drug or biological being administered falls under the unclassified category and does not have a specific code assigned to it.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9399, healthcare providers should ensure that the documentation includes the following:

• Clear identification of the unclassified drug or biological being administered
• Documentation of the dosage and route of administration
• Relevant patient information, including medical history and any contraindications

It is important to follow the specific billing guidelines provided by the payer or insurance company to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9399 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then, with no maintenance actions taken for this code. The action code N indicates that there is no maintenance required for this code. It is important to stay updated with any changes or revisions to the code, as well as any historical context that may impact its usage.

7. Medicare and Insurance Coverage

HCPCS code C9399 is covered 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 indicates that the code is not applicable as HCPCS priced under one methodology. It is important to verify coverage and pricing with the specific payer or insurance company to ensure accurate billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C9399 should be billed:

1. A patient receives an unclassified drug through intravenous infusion, and there is no specific code available for the drug.
2. A healthcare provider administers an unclassified biological through subcutaneous injection, and there is no specific code assigned to the biological.
3. An unclassified drug is administered through intramuscular injection, and there is no specific code available for the drug.
4. A patient receives an unclassified biological through intravenous push, and there is no specific code assigned to the biological.
5. An unclassified drug is administered through intrathecal injection, and there is no specific code available for the drug.