How To Use HCPCS Code C9751

HCPCS code C9751 describes a specific bronchoscopy procedure that involves the use of microwave energy for the ablation of lesion(s) in the bronchial area. This code also includes various imaging techniques, such as fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling. Additionally, it encompasses the sampling of mediastinal and/or hilar lymph node stations or structures, as well as any necessary therapeutic interventions.

1. What is HCPCS C9751?

HCPCS code C9751 is a specific code used to identify the bronchoscopy procedure described above. It is important for medical coders to accurately assign this code when reporting this particular procedure to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code C9751 is as follows: “Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-D rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg, aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s).” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider begins the bronchoscopy procedure by inserting a rigid or flexible bronchoscope into the patient’s airway.
2. Using microwave energy, the provider performs the ablation of lesion(s) in the bronchial area.
3. Fluoroscopic guidance is utilized during the procedure to ensure accurate placement and targeting of the lesions.
4. Computed tomography acquisition(s) and 3-D rendering are performed to obtain detailed images of the bronchial area.
5. Computer-assisted, image-guided navigation is used to assist the provider in navigating through the airway and targeting specific areas.
6. Endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling is performed to obtain samples from the bronchial area, including aspiration(s) and/or biopsy(ies).
7. All mediastinal and/or hilar lymph node stations or structures are evaluated and sampled if necessary.
8. Therapeutic interventions may be performed as part of the procedure, depending on the specific needs of the patient.

4. When to use HCPCS code C9751

HCPCS code C9751 should be used when reporting a bronchoscopy procedure that involves the ablation of lesion(s) in the bronchial area using microwave energy. This code is specifically applicable when the procedure includes fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling, evaluation of mediastinal and/or hilar lymph node stations or structures, and therapeutic interventions.

5. Billing Guidelines and Documentation Requirements

When billing for the bronchoscopy procedure with HCPCS code C9751, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include detailed procedure notes, imaging reports, and any other relevant documentation. It is important to accurately code and bill for all components of the procedure, including the use of microwave energy, imaging techniques, sampling, and therapeutic interventions.

6. Historical Information and Code Maintenance

HCPCS code C9751 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 to the code since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code C9751 is subject to special coverage instructions, as indicated by the coverage code D. This means that specific guidelines or criteria may apply when determining the coverage and reimbursement for this procedure. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further information on the coverage and payment policies related to this code.

8. Examples

Here are five examples of scenarios where HCPCS code C9751 may be used:

1. A patient undergoes a bronchoscopy procedure for the ablation of lesion(s) in the bronchial area using microwave energy, with the inclusion of fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling, evaluation of mediastinal and/or hilar lymph node stations or structures, and therapeutic interventions.
2. A provider performs a bronchoscopy procedure with microwave energy ablation of lesion(s) in the bronchial area, along with fluoroscopic guidance and computed tomography acquisition(s) and 3-D rendering, but without the use of computer-assisted image-guided navigation, endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling, or evaluation of mediastinal and/or hilar lymph node stations or structures.
3. A patient undergoes a bronchoscopy procedure with microwave energy ablation of lesion(s) in the bronchial area, along with fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling, but without the evaluation of mediastinal and/or hilar lymph node stations or structures or therapeutic interventions.
4. A provider performs a bronchoscopy procedure with microwave energy ablation of lesion(s) in the bronchial area, along with fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, and therapeutic interventions, but without the use of endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling or evaluation of mediastinal and/or hilar lymph node stations or structures.
5. A patient undergoes a bronchoscopy procedure with microwave energy ablation of lesion(s) in the bronchial area, along with fluoroscopic guidance, computed tomography acquisition(s) and 3-D rendering, computer-assisted image-guided navigation, endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling, and evaluation of mediastinal and/or hilar lymph node stations or structures, but without any therapeutic interventions.