Question 1

What is HCPCS code C1300?

Accepted Answer

HCPCS code C1300 is "Hyperbaric oxygen". Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval

Question 2

What category is C1300 in?

Accepted Answer

C1300 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C1300?

Accepted Answer

Use C1300 when billing for hyperbaric oxygen. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C1300 covered by Medicare?

Accepted Answer

Coverage for C1300 (Hyperbaric oxygen) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C1300?

Accepted Answer

Documentation for C1300 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).