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How To Use HCPCS Code C9479

HCPCS code C9479 describes the procedure of instillation of ciprofloxacin otic suspension, 6 mg. This code is used to identify the specific service provided by healthcare providers and is essential for accurate medical coding and billing. In this article, we will explore the details of HCPCS code C9479, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C9479?

HCPCS code C9479 is a specific code used in medical coding to identify the procedure of instillation of ciprofloxacin otic suspension, 6 mg. This code is unique to this particular service and is used to ensure accurate documentation and billing.

2. Official Description

The official description of HCPCS code C9479 is “Instillation, ciprofloxacin otic suspension, 6 mg.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

  1. The procedure of HCPCS code C9479 involves the instillation of ciprofloxacin otic suspension, 6 mg, into the affected ear.
  2. The healthcare provider will prepare the ciprofloxacin otic suspension according to the manufacturer’s instructions.
  3. The provider will then use a sterile dropper or syringe to instill the suspension into the ear canal.
  4. Proper positioning of the patient’s head may be necessary to ensure the medication reaches the affected area.
  5. The provider may instruct the patient to remain in a specific position for a certain period to allow the medication to take effect.
  6. After the instillation, the provider may provide additional instructions to the patient regarding follow-up care or medication usage.

4. When to use HCPCS code C9479

HCPCS code C9479 should be used when healthcare providers perform the procedure of instillation of ciprofloxacin otic suspension, 6 mg. This code is specific to this particular service and should only be used when this procedure is performed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9479, healthcare providers need to ensure proper documentation of the procedure performed. This includes documenting the administration of ciprofloxacin otic suspension, 6 mg, the dosage used, and any additional instructions provided to the patient. It is important to follow the specific billing guidelines set forth by the payer to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9479 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 been terminated as of December 31, 2016. No maintenance actions have been 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 C9479 is classified under the HCPCS Coverage Code D, which means special coverage instructions apply. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Medicare and other insurance coverage for HCPCS code C9479 may vary, and it is important to check with the specific payer for reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code C9479 should be billed:

  1. A patient presents with a severe ear infection, and the healthcare provider performs the procedure of instillation of ciprofloxacin otic suspension, 6 mg, to treat the infection.
  2. A child with recurrent ear infections undergoes the instillation of ciprofloxacin otic suspension, 6 mg, as part of their ongoing treatment plan.
  3. A patient with a perforated eardrum receives the instillation of ciprofloxacin otic suspension, 6 mg, to prevent infection and promote healing.
  4. A healthcare provider performs the procedure of instillation of ciprofloxacin otic suspension, 6 mg, as a prophylactic measure for a patient undergoing ear surgery.
  5. A patient with chronic otitis media undergoes regular instillations of ciprofloxacin otic suspension, 6 mg, to manage their condition.

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