Question 1

What is HCPCS code C8001?

Accepted Answer

HCPCS code C8001 is "3d anat seg imaging preop". 3d anatomical segmentation imaging for preoperative planning, data preparation and transmission, obtained from previous diagnostic computed tomographic or magnetic resonance examination of the same anatomy

Question 2

What category is C8001 in?

Accepted Answer

C8001 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8001?

Accepted Answer

Use C8001 when billing for 3d anat seg imaging preop. 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 C8001 covered by Medicare?

Accepted Answer

Coverage for C8001 (3d anat seg imaging preop) 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 C8001?

Accepted Answer

Documentation for C8001 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).