How To Use HCPCS Code C9777

HCPCS code C9777 describes a specific procedure known as esophageal mucosal integrity testing by electrical impedance. This procedure is performed transorally and includes either an esophagoscopy or an esophagogastroduodenoscopy. In this article, we will explore the details of HCPCS code C9777, 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 C9777?

HCPCS code C9777 is used to identify the procedure of esophageal mucosal integrity testing by electrical impedance. This test is conducted transorally and involves either an esophagoscopy or an esophagogastroduodenoscopy. It is used to assess the integrity of the esophageal mucosa and diagnose conditions such as gastroesophageal reflux disease (GERD) or esophageal motility disorders.

2. Official Description

The official description of HCPCS code C9777 is “Esophageal mucosal integrity testing by electrical impedance, transoral, includes esophagoscopy or esophagogastroduodenoscopy.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The procedure of esophageal mucosal integrity testing by electrical impedance begins with the patient being prepared for the test. This may involve fasting for a certain period of time before the procedure.
2. The patient is then positioned appropriately, either sitting or lying down, to facilitate the insertion of the endoscope.
3. The healthcare provider will administer local anesthesia to numb the throat and reduce discomfort during the procedure.
4. An endoscope, a flexible tube with a light and camera at the end, is inserted through the mouth and into the esophagus.
5. The provider carefully examines the esophageal mucosa and performs impedance testing using specialized equipment.
6. If necessary, the provider may also perform an esophagoscopy or an esophagogastroduodenoscopy to further evaluate the esophagus and surrounding structures.
7. Once the testing is complete, the endoscope is gently removed, and the patient is monitored for any immediate complications.

4. When to use HCPCS code C9777

HCPCS code C9777 should be used when performing esophageal mucosal integrity testing by electrical impedance. This procedure is typically indicated for patients with symptoms suggestive of esophageal disorders, such as persistent heartburn, regurgitation, or difficulty swallowing. It is important to ensure that the patient meets the specific criteria for this test as determined by the healthcare provider.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9777, healthcare providers need to document the medical necessity of the procedure and include relevant clinical information in the patient’s medical record. Additionally, it is essential to submit accurate and detailed documentation to support the use of this code for reimbursement purposes. Proper coding and documentation will help ensure appropriate payment for the services rendered.

6. Historical Information and Code Maintenance

HCPCS code C9777 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code C9777 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. It is important for healthcare providers to verify coverage and reimbursement policies with the specific payers to ensure proper billing and reimbursement for this procedure.

8. Examples

Here are five examples of when HCPCS code C9777 should be billed:

1. A patient presents with chronic heartburn and regurgitation. After a thorough evaluation, the healthcare provider determines that esophageal mucosal integrity testing is necessary to assess for gastroesophageal reflux disease (GERD).
2. A patient with a history of esophageal motility disorders experiences worsening symptoms. The healthcare provider recommends esophageal mucosal integrity testing to evaluate the integrity of the esophageal mucosa and identify any underlying issues.
3. A patient undergoes an esophagoscopy due to persistent difficulty swallowing. During the procedure, the provider performs impedance testing to assess the esophageal mucosal integrity.
4. A patient with a history of esophageal cancer undergoes regular surveillance. Esophageal mucosal integrity testing is performed to monitor the integrity of the esophageal mucosa and detect any potential recurrence or complications.
5. A patient presents with atypical chest pain and other symptoms suggestive of esophageal disorders. The healthcare provider recommends esophageal mucosal integrity testing to evaluate the esophagus and rule out any underlying conditions.