How To Use HCPCS Code C9787

HCPCS code C9787 describes gastric electrophysiology mapping with simultaneous patient symptom profiling. This code is used to identify a specific procedure that involves mapping the electrical activity of the stomach while simultaneously profiling the symptoms experienced by the patient. In this article, we will explore the details of HCPCS code C9787, 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 C9787?

HCPCS code C9787 is a specific code that is used to identify the procedure of gastric electrophysiology mapping with simultaneous patient symptom profiling. This code is unique to this particular procedure and is used by medical coders to accurately document and bill for this service.

2. Official Description

The official description of HCPCS code C9787 is “Gastric electrophysiology mapping with simultaneous patient symptom profiling.” The short description for this code is “Enteral supp not otherwise c.” This description provides a concise summary of the procedure that this code represents.

3. Procedure

1. The procedure of gastric electrophysiology mapping with simultaneous patient symptom profiling involves the use of specialized equipment to map the electrical activity of the stomach.
2. During the procedure, the patient’s symptoms are also simultaneously recorded and analyzed.
3. This procedure helps healthcare providers to better understand the electrical activity of the stomach and its correlation with the symptoms experienced by the patient.
4. The mapping and symptom profiling data obtained from this procedure can aid in the diagnosis and treatment of various gastrointestinal disorders.

4. When to use HCPCS code C9787

HCPCS code C9787 should be used when a healthcare provider performs gastric electrophysiology mapping with simultaneous patient symptom profiling. This procedure is typically performed for patients who are experiencing gastrointestinal symptoms that require further investigation and evaluation.

5. Billing Guidelines and Documentation Requirements

When billing for the procedure represented by HCPCS code C9787, healthcare providers need to ensure that the documentation accurately reflects the performance of gastric electrophysiology mapping with simultaneous patient symptom profiling. This includes documenting the equipment used, the mapping process, and the simultaneous recording and analysis of the patient’s symptoms.

6. Historical Information and Code Maintenance

HCPCS code C9787 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.

7. Medicare and Insurance Coverage

HCPCS code C9787 is subject to special coverage instructions, as indicated by the coverage code D. This means that there may be specific eligibility criteria or guidelines for Medicare and other insurance coverage. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C9787 should be billed:

1. A patient presents with chronic abdominal pain and other gastrointestinal symptoms. The healthcare provider performs gastric electrophysiology mapping with simultaneous patient symptom profiling to assess the electrical activity of the stomach and correlate it with the patient’s symptoms.
2. A patient with a history of gastroparesis undergoes gastric electrophysiology mapping with simultaneous patient symptom profiling to evaluate the effectiveness of their current treatment plan.
3. A patient with unexplained weight loss and gastrointestinal symptoms undergoes gastric electrophysiology mapping with simultaneous patient symptom profiling to aid in the diagnosis of their condition.
4. A patient with a suspected motility disorder undergoes gastric electrophysiology mapping with simultaneous patient symptom profiling to assess the function of their stomach and identify any abnormalities.
5. A patient with refractory nausea and vomiting undergoes gastric electrophysiology mapping with simultaneous patient symptom profiling to better understand the underlying cause of their symptoms.