Question 1

What is HCPCS code C9746?

Accepted Answer

HCPCS code C9746 is "Trans imp balloon cont". Transperineal implantation of permanent adjustable balloon continence device, with cystourethroscopy, when performed and/or fluoroscopy, when performed

Question 2

What category is C9746 in?

Accepted Answer

C9746 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9746?

Accepted Answer

Use C9746 when billing for trans imp balloon cont. 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 C9746 covered by Medicare?

Accepted Answer

Coverage for C9746 (Trans imp balloon cont) 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 C9746?

Accepted Answer

Documentation for C9746 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).