Question 1

What is HCPCS code C8006?

Accepted Answer

HCPCS code C8006 is "Inst pleu-perit shnt w pump". Insertion of pleural-peritoneal shunt with intercostal pump chamber, including imaging, injection(s) of contrast with radiological supervision and interpretation, when performed

Question 2

What category is C8006 in?

Accepted Answer

C8006 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8006?

Accepted Answer

Use C8006 when billing for inst pleu-perit shnt w pump. 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 C8006 covered by Medicare?

Accepted Answer

Coverage for C8006 (Inst pleu-perit shnt w pump) 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 C8006?

Accepted Answer

Documentation for C8006 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).