How To Use HCPCS Code C9779

HCPCS code C9779 describes the procedure of endoscopic submucosal dissection (ESD), including endoscopy or colonoscopy, and mucosal closure when performed. This code is used to identify a specific medical service provided by healthcare providers. In this article, we will explore the details of HCPCS code C9779, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and examples of when this code should be billed.

1. What is HCPCS C9779?

HCPCS code C9779 is a specific code used to identify the procedure of endoscopic submucosal dissection (ESD), including endoscopy or colonoscopy, and mucosal closure when performed. This code is used to accurately document and bill for this particular medical service.

2. Official Description

The official description of HCPCS code C9779 is “Endoscopic submucosal dissection (ESD), including endoscopy or colonoscopy, mucosal closure, when performed.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The procedure of HCPCS code C9779, endoscopic submucosal dissection (ESD), involves the use of an endoscope or colonoscope to access the targeted area within the gastrointestinal tract.
2. Once the target area is visualized, the healthcare provider performs a submucosal dissection to remove abnormal or diseased tissue.
3. If necessary, mucosal closure is performed to ensure proper healing and prevent complications.
4. This procedure is typically performed to treat certain gastrointestinal conditions or to remove precancerous or cancerous lesions.

4. When to use HCPCS code C9779

HCPCS code C9779 should be used when healthcare providers perform endoscopic submucosal dissection (ESD), including endoscopy or colonoscopy, and mucosal closure. It is important to ensure that the procedure meets the specific criteria outlined in the code description to accurately use this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9779, healthcare providers need to document the details of the procedure, including the indication for the procedure, the specific areas treated, and any complications encountered. It is important to provide sufficient documentation to support the medical necessity of the procedure.

6. Historical Information and Code Maintenance

HCPCS code C9779 was added to the Healthcare Common Procedure Coding System on January 01, 1985. 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 been in use since its addition, and there have been no significant changes or revisions to its description or usage.

7. Medicare and Insurance Coverage

HCPCS code C9779 is covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service is priced by other carriers. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage instructions and guidelines.

8. Examples

Here are five examples of when HCPCS code C9779 should be billed:

1. A patient undergoes endoscopic submucosal dissection (ESD) for the removal of a precancerous lesion in the colon.
2. An endoscopic submucosal dissection (ESD) procedure is performed to treat a gastrointestinal condition in a patient.
3. A healthcare provider performs endoscopic submucosal dissection (ESD) with mucosal closure to remove abnormal tissue in the esophagus.
4. A patient undergoes endoscopic submucosal dissection (ESD) for the treatment of a gastric polyp.
5. An endoscopic submucosal dissection (ESD) procedure is performed to remove a cancerous lesion in the rectum.