How To Use HCPCS Code C9762

HCPCS code C9762 describes cardiac magnetic resonance imaging for morphology and function, specifically the quantification of segmental dysfunction, with strain imaging. This code is used to identify a specific procedure that involves the use of magnetic resonance imaging (MRI) to assess the structure and function of the heart, particularly in relation to segmental dysfunction and strain.

1. What is HCPCS C9762?

HCPCS code C9762 is a specific code used in medical coding to identify and bill for cardiac magnetic resonance imaging procedures that involve the assessment of segmental dysfunction and strain. It is important for medical coders to accurately assign this code to ensure proper reimbursement and documentation of the procedure.

2. Official Description

The official description of HCPCS code C9762 is “Cardiac magnetic resonance imaging for morphology and function, quantification of segmental dysfunction; with strain imaging.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure for HCPCS code C9762 involves the use of cardiac magnetic resonance imaging (MRI) to assess the morphology and function of the heart.
2. The MRI machine uses a powerful magnetic field and radio waves to create detailed images of the heart.
3. During the procedure, the patient lies on a table that slides into the MRI machine.
4. The MRI technician will position the patient and provide instructions for holding their breath or remaining still during the imaging process.
5. The MRI machine will capture images of the heart from different angles to assess the morphology and function of the heart.
6. In addition to the assessment of morphology and function, this specific procedure also includes the quantification of segmental dysfunction and strain using strain imaging techniques.
7. Strain imaging allows for the measurement of the deformation or strain of specific segments of the heart, providing valuable information about cardiac function.
8. The procedure typically takes around 30 to 60 minutes, depending on the specific imaging requirements.

4. When to use HCPCS code C9762

HCPCS code C9762 should be used when a healthcare provider performs a cardiac magnetic resonance imaging procedure specifically for the quantification of segmental dysfunction and strain. This code is applicable when the provider is assessing the morphology and function of the heart using MRI and includes the additional component of strain imaging.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9762, healthcare providers need to ensure that the documentation supports the performance of cardiac magnetic resonance imaging for morphology and function, with a specific focus on the quantification of segmental dysfunction and strain. The medical record should include details of the procedure, including the indication for the imaging, the findings, and any relevant measurements or calculations related to segmental dysfunction and strain.

6. Historical Information and Code Maintenance

HCPCS code C9762 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then without any maintenance actions taken, as indicated by the action code N, which means no maintenance for this code. This code is still valid and can be used for billing purposes.

7. Medicare and Insurance Coverage

HCPCS code C9762 is eligible for coverage by Medicare and other insurance providers. 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions related to billing and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code C9762 should be billed:

1. A patient with a history of cardiac dysfunction undergoes cardiac magnetic resonance imaging to assess the morphology and function of the heart, specifically focusing on segmental dysfunction and strain.
2. A patient with suspected heart disease undergoes cardiac magnetic resonance imaging to evaluate the presence of segmental dysfunction and strain.
3. A patient with a known heart condition undergoes routine cardiac magnetic resonance imaging to monitor the progression of segmental dysfunction and strain.
4. A patient with a recent heart attack undergoes cardiac magnetic resonance imaging to assess the extent of segmental dysfunction and strain in the affected areas of the heart.
5. A patient with a congenital heart defect undergoes cardiac magnetic resonance imaging to evaluate the segmental dysfunction and strain associated with the defect.