How To Use HCPCS Code C9800

HCPCS code C9800 describes a dermal injection procedure for facial lipodystrophy syndrome (lds) and the provision of radiesse or sculptra dermal filler, including all necessary items and supplies. This code is used to identify a specific medical service provided by healthcare providers.

1. What is HCPCS C9800?

HCPCS code C9800 is a specific code used in medical coding to identify a dermal injection procedure for facial lipodystrophy syndrome (lds) and the provision of radiesse or sculptra dermal filler. It is important for medical coders to correctly assign this code to ensure accurate billing and reimbursement for the services provided.

2. Official Description

The official description of HCPCS code C9800 is “Dermal injection procedure(s) for facial lipodystrophy syndrome (lds) and provision of radiesse or sculptra dermal filler, including all items and supplies.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The dermal injection procedure for facial lipodystrophy syndrome involves injecting radiesse or sculptra dermal filler into the affected areas of the face.
2. The healthcare provider will first assess the patient’s facial lipodystrophy syndrome and determine the appropriate areas for treatment.
3. The provider will then prepare the radiesse or sculptra dermal filler, ensuring that all necessary items and supplies are available.
4. The injection procedure will be performed using sterile techniques to minimize the risk of infection.
5. After the injections are completed, the provider will monitor the patient for any immediate adverse reactions or complications.
6. Post-procedure care instructions will be provided to the patient, including any necessary follow-up appointments.

4. When to use HCPCS code C9800

HCPCS code C9800 should be used when a healthcare provider performs a dermal injection procedure for facial lipodystrophy syndrome (lds) and provides radiesse or sculptra dermal filler. This code is specific to this particular procedure and should not be used for other unrelated services.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9800, healthcare providers should ensure that the following documentation is included:

• Medical records supporting the diagnosis of facial lipodystrophy syndrome
• Documentation of the dermal injection procedure performed
• Details of the radiesse or sculptra dermal filler used
• Itemized list of all items and supplies provided during the procedure

Providers should also follow the specific billing guidelines set forth by Medicare or other insurance carriers to ensure proper reimbursement for the services rendered.

6. Historical Information and Code Maintenance

HCPCS code C9800 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. This code was terminated on December 31, 2016, and is no longer in use.

7. Medicare and Insurance Coverage

HCPCS code C9800 falls under Medicare coverage code D, which indicates that special coverage instructions apply. The pricing indicator code for this code is 57, which means it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of when HCPCS code C9800 should be billed:

1. A patient with facial lipodystrophy syndrome undergoes a dermal injection procedure using radiesse dermal filler.
2. A healthcare provider performs a dermal injection procedure for facial lipodystrophy syndrome using sculptra dermal filler.
3. A patient receives a dermal injection procedure for facial lipodystrophy syndrome with the provision of radiesse dermal filler and all necessary items and supplies.
4. A healthcare provider administers a dermal injection procedure for facial lipodystrophy syndrome using sculptra dermal filler, including the provision of all items and supplies.
5. A patient undergoes a dermal injection procedure for facial lipodystrophy syndrome with the use of radiesse or sculptra dermal filler, including the provision of all necessary items and supplies.