Question 1

What is HCPCS code C8903?

Accepted Answer

HCPCS code C8903 is "Mri w/cont, breast,  uni". Magnetic resonance imaging with contrast, breast; unilateral

Question 2

What category is C8903 in?

Accepted Answer

C8903 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8903?

Accepted Answer

Use C8903 when billing for mri w/cont, breast,  uni. 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

What ICD-10 codes are commonly used with C8903?

Accepted Answer

Common ICD-10 diagnosis codes used with C8903 include: C45.9 (Mesothelioma, unspecified), C50.011 (Malignant neoplasm of nipple and areola, right female breast), C50.012 (Malignant neoplasm of nipple and areola, left female breast), C50.021 (Malignant neoplasm of nipple and areola, right male breast). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is C8903 covered by Medicare?

Accepted Answer

Coverage for C8903 (Mri w/cont, breast,  uni) 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 6

What documentation is required for C8903?

Accepted Answer

Documentation for C8903 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).