Question 1

What is HCPCS code C9479?

Accepted Answer

HCPCS code C9479 is "Instill, ciprofloxacin otic". Instillation, ciprofloxacin otic suspension, 6 mg

Question 2

What category is C9479 in?

Accepted Answer

C9479 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9479?

Accepted Answer

Use C9479 when billing for instill, ciprofloxacin otic. 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 C9479 covered by Medicare?

Accepted Answer

Coverage for C9479 (Instill, ciprofloxacin otic) 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 C9479?

Accepted Answer

Documentation for C9479 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).