Question 1

What is HCPCS code C9756?

Accepted Answer

HCPCS code C9756 is "Fluorescence lymph map w/icg". Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (icg) (list separately in addition to code for primary procedure)

Question 2

What category is C9756 in?

Accepted Answer

C9756 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9756?

Accepted Answer

Use C9756 when billing for fluorescence lymph map w/icg. 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 C9756 covered by Medicare?

Accepted Answer

Coverage for C9756 (Fluorescence lymph map w/icg) 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 C9756?

Accepted Answer

Documentation for C9756 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).