Question 1

What is HCPCS code C8957?

Accepted Answer

HCPCS code C8957 is "Prolonged iv inf, req pump". Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump

Question 2

What category is C8957 in?

Accepted Answer

C8957 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C8957?

Accepted Answer

Use C8957 when billing for prolonged iv inf, req 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 C8957 covered by Medicare?

Accepted Answer

Coverage for C8957 (Prolonged iv inf, req 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 C8957?

Accepted Answer

Documentation for C8957 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).