How To Use HCPCS Code C9744

HCPCS code C9744 describes an abdominal ultrasound procedure that is performed with the use of contrast. This article will provide a comprehensive overview of this specific code, including its official description, procedure details, when to use it, billing guidelines and documentation requirements, historical information and code maintenance, Medicare and insurance coverage, as well as examples of when this code should be billed.

1. What is HCPCS C9744?

HCPCS code C9744 is used to identify an abdominal ultrasound procedure that involves the use of contrast. This code is specific to ultrasound examinations performed on the abdominal region and is used to provide detailed imaging of the organs and structures within the abdomen. The use of contrast enhances the visibility of certain areas or structures, allowing for a more accurate diagnosis or evaluation of a medical condition.

2. Official Description

The official description of HCPCS code C9744 is “Ultrasound, abdominal, with contrast.” This description accurately reflects the nature of the procedure and the use of contrast during the ultrasound examination. The short description for this code is “Enteral supp not otherwise c,” which provides a brief summary of the procedure.

3. Procedure

The abdominal ultrasound procedure with contrast involves the following steps:

1. The patient is positioned on an examination table, usually lying on their back.
2. A gel-like substance is applied to the skin over the abdominal area to facilitate the transmission of sound waves.
3. The ultrasound technician or radiologist uses a handheld device called a transducer to emit high-frequency sound waves into the abdomen.
4. The sound waves bounce off the organs and structures in the abdomen and create echoes, which are then captured by the transducer.
5. The captured echoes are converted into images that are displayed on a monitor in real-time.
6. If contrast is required, it may be administered orally or intravenously prior to or during the procedure.
7. The contrast agent helps to enhance the visibility of certain structures or areas of interest within the abdomen.
8. The ultrasound technician or radiologist interprets the images and prepares a report for the healthcare provider.

4. When to use HCPCS code C9744

HCPCS code C9744 should be used when performing an abdominal ultrasound procedure with the use of contrast. This code is applicable when the ultrasound examination is focused on the abdominal region and contrast is administered to enhance the visibility of specific structures or areas of interest. It is important to ensure that the documentation supports the use of contrast and the medical necessity of the procedure.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9744, healthcare providers need to document the following:

• The medical necessity of the procedure and the reason for using contrast
• The specific structures or areas of interest within the abdomen that were evaluated
• The type and dosage of contrast administered, if applicable
• The findings and interpretation of the ultrasound examination

It is important to ensure that the documentation is accurate, complete, and supports the medical necessity of the procedure in order to facilitate proper billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9744 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 1996. This code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology. 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

Medicare coverage for HCPCS code C9744 may vary depending on the specific circumstances and guidelines set forth by Medicare. It is important to consult the Medicare Carriers Manual Reference Section Number 2130 for detailed information on coverage and reimbursement. Other insurance providers may also have their own coverage policies and guidelines for this code. The pricing indicator code and multiple pricing indicator code provide information on how the service or supply is priced by Medicare or other insurers.

8. Examples

Here are five examples of when HCPCS code C9744 should be billed:

1. A patient undergoes an abdominal ultrasound with contrast to evaluate a suspected liver mass.
2. An individual with chronic kidney disease undergoes an abdominal ultrasound with contrast to assess the function and structure of the kidneys.
3. A patient with abdominal pain undergoes an ultrasound examination with contrast to identify the cause of the pain.
4. An individual with a history of gastrointestinal bleeding undergoes an abdominal ultrasound with contrast to identify the source of the bleeding.
5. A pregnant woman undergoes an abdominal ultrasound with contrast to evaluate the development and well-being of the fetus.