Question 1

What is HCPCS code C9134?

Accepted Answer

HCPCS code C9134 is "Factor xiii a-subunit recomb". Factor xiii (antihemophilic factor, recombinant), tretten, per 10 i.u.

Question 2

What category is C9134 in?

Accepted Answer

C9134 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9134?

Accepted Answer

Use C9134 when billing for factor xiii a-subunit recomb. 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 C9134 covered by Medicare?

Accepted Answer

Coverage for C9134 (Factor xiii a-subunit recomb) 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 C9134?

Accepted Answer

Documentation for C9134 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).