Question 1

What is HCPCS code C8003?

Accepted Answer

HCPCS code C8003 is "Imp extar knee shck absrb". Implantation of medial knee extraarticular implantable shock absorber spanning the knee joint from distal femur to proximal tibia, open, includes measurements, positioning and adjustments, with imaging guidance (e.g., fluoroscopy)

Question 2

What category is C8003 in?

Accepted Answer

C8003 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8003?

Accepted Answer

Use C8003 when billing for imp extar knee shck absrb. 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 C8003 covered by Medicare?

Accepted Answer

Coverage for C8003 (Imp extar knee shck absrb) 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 C8003?

Accepted Answer

Documentation for C8003 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).