Question 1

What is HCPCS code C8928?

Accepted Answer

HCPCS code C8928 is "Tte w or w/o fol w/con,stres". Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report

Question 2

What category is C8928 in?

Accepted Answer

C8928 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8928?

Accepted Answer

Use C8928 when billing for tte w or w/o fol w/con,stres. 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 C8928?

Accepted Answer

Common ICD-10 diagnosis codes used with C8928 include: A18.84 (Tuberculosis of heart), A36.81 (Diphtheritic cardiomyopathy), A39.53 (Meningococcal pericarditis), A40.0 (Sepsis due to streptococcus, group A). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is C8928 covered by Medicare?

Accepted Answer

Coverage for C8928 (Tte w or w/o fol w/con,stres) 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 C8928?

Accepted Answer

Documentation for C8928 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).