How To Use HCPCS Code C9782

HCPCS code C9782 describes a blinded procedure for New York Heart Association (NYHA) class II or III heart failure, or Canadian Cardiovascular Society (CCS) class III or IV chronic refractory angina. This procedure involves transcatheter intramyocardial transplantation of autologous bone marrow cells or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance. It is performed in an approved investigational device exemption (IDE) study.

1. What is HCPCS C9782?

HCPCS code C9782 is a specific code used to identify a blinded procedure for NYHA class II or III heart failure, or CCS class III or IV chronic refractory angina. This code is used to report the transcatheter intramyocardial transplantation of autologous bone marrow cells or placebo control, along with other associated services such as bone marrow harvesting, left heart catheterization, laboratory services, and imaging.

2. Official Description

The official description of HCPCS code C9782 is “Blinded procedure for New York Heart Association (NYHA) class II or III heart failure, or Canadian Cardiovascular Society (CCS) class III or IV chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (IDE) study.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure begins with the harvesting of autologous bone marrow cells from the patient.
2. The harvested bone marrow cells are then prepared for transplantation.
3. A left heart catheterization is performed, including ventriculography, to assess the condition of the heart.
4. The transcatheter intramyocardial transplantation of autologous bone marrow cells or placebo control is then carried out.
5. All necessary laboratory services, such as blood tests, are performed.
6. Imaging procedures, such as transthoracic echocardiography, ultrasound, or fluoroscopy, may be conducted with or without guidance.
7. This procedure is performed as part of an approved investigational device exemption (IDE) study.

4. When to use HCPCS code C9782

HCPCS code C9782 should be used when reporting a blinded procedure for NYHA class II or III heart failure, or CCS class III or IV chronic refractory angina. This code is specifically for the transcatheter intramyocardial transplantation of autologous bone marrow cells or placebo control, along with other associated services, as described in the official description.

5. Billing Guidelines and Documentation Requirements

Healthcare providers should ensure proper documentation of the procedure, including the indication for the procedure, the patient’s NYHA or CCS classification, and any relevant medical records. When billing for HCPCS code C9782, providers should follow the specific guidelines and requirements set forth by the payer, including any necessary supporting documentation.

6. Historical Information and Code Maintenance

HCPCS code C9782 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has no maintenance actions, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code C9782 may be covered 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 coverage instructions and guidelines.

8. Examples

Here are some examples of when HCPCS code C9782 should be billed:

1. A patient with NYHA class II heart failure undergoes the transcatheter intramyocardial transplantation of autologous bone marrow cells as part of an IDE study.
2. A patient with CCS class III chronic refractory angina receives the blinded procedure involving autologous bone marrow transplantation and left heart catheterization.
3. A patient with NYHA class III heart failure undergoes the transcatheter intramyocardial transplantation of placebo control, along with bone marrow harvesting and imaging procedures.
4. A patient with CCS class IV chronic refractory angina receives the blinded procedure, including autologous bone marrow preparation and laboratory services.
5. A patient with NYHA class II heart failure undergoes the transcatheter intramyocardial transplantation of autologous bone marrow cells, with all necessary imaging and laboratory services.