How To Use HCPCS Code C9739

HCPCS code C9739 describes a specific procedure known as cystourethroscopy with insertion of transprostatic implant. This code is used to identify the insertion of one to three implants during the cystourethroscopy procedure. In this article, we will explore the details of HCPCS code C9739, 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 C9739?

HCPCS code C9739 is used to identify the procedure of cystourethroscopy with insertion of transprostatic implant. This code specifically refers to the insertion of one to three implants during the cystourethroscopy procedure. It is important to note that this code is only applicable for this specific procedure and should not be used for any other purpose.

2. Official Description

The official description of HCPCS code C9739 is “Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants.” The short description for this code is “Parenteral supp not othrws c.” These descriptions accurately define the procedure and the number of implants involved.

3. Procedure

1. The cystourethroscopy procedure involves the insertion of a cystoscope into the urethra to examine the bladder and urethra.
2. During the procedure, the healthcare provider will navigate the cystoscope through the urethra and into the bladder.
3. Once the bladder is visualized, the provider will insert one to three transprostatic implants into the prostate gland.
4. The implants are typically used to treat conditions such as benign prostatic hyperplasia (BPH) or other prostate-related issues.
5. After the implants are inserted, the cystoscope is removed, and the procedure is complete.

4. When to use HCPCS code C9739

HCPCS code C9739 should be used when the healthcare provider performs a cystourethroscopy procedure and inserts one to three transprostatic implants. It is important to ensure that the procedure and the number of implants align with the official description of the code. This code should not be used for any other procedures or implant insertions.

5. Billing Guidelines and Documentation Requirements

When billing for the cystourethroscopy procedure with insertion of transprostatic implant using HCPCS code C9739, healthcare providers need to ensure proper documentation. The documentation should include details of the procedure, the number of implants inserted, and any relevant medical records supporting the necessity of the procedure. Additionally, providers should follow the billing guidelines set forth by the relevant insurance carriers or Medicare to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9739 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C9739 is classified under the special coverage instructions category, denoted by the coverage code D. This indicates that specific coverage instructions apply to this code. Medicare and other insurance carriers may have their own pricing indicators and multiple pricing indicator codes for this code. It is important for healthcare providers to consult the Medicare Carriers Manual or the respective insurance guidelines to understand the coverage and pricing details for this procedure.

8. Examples

Here are five examples of scenarios where HCPCS code C9739 should be billed:

1. A 65-year-old male patient with benign prostatic hyperplasia (BPH) undergoes a cystourethroscopy procedure with the insertion of two transprostatic implants.
2. A 55-year-old female patient with recurrent urinary tract infections undergoes a cystourethroscopy procedure with the insertion of one transprostatic implant.
3. A 70-year-old male patient with urinary retention undergoes a cystourethroscopy procedure with the insertion of three transprostatic implants.
4. A 60-year-old female patient with bladder stones undergoes a cystourethroscopy procedure with the insertion of two transprostatic implants.
5. A 50-year-old male patient with prostate cancer undergoes a cystourethroscopy procedure with the insertion of one transprostatic implant as part of their treatment plan.