Question 1

What is HCPCS code C8927?

Accepted Answer

HCPCS code C8927 is "Tee w or w/o fol w/cont, mon". Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis

Question 2

What category is C8927 in?

Accepted Answer

C8927 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8927?

Accepted Answer

Use C8927 when billing for tee w or w/o fol w/cont, mon. 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 C8927?

Accepted Answer

Common ICD-10 diagnosis codes used with C8927 include: A02.1 (Salmonella sepsis), A18.84 (Tuberculosis of heart), A22.7 (Anthrax sepsis), A26.7 (Erysipelothrix sepsis). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is C8927 covered by Medicare?

Accepted Answer

Coverage for C8927 (Tee w or w/o fol w/cont, mon) 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 C8927?

Accepted Answer

Documentation for C8927 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).