Question 1

What is HCPCS code C9764?

Accepted Answer

HCPCS code C9764 is "Revasc intravasc lithotripsy". Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed

Question 2

What category is C9764 in?

Accepted Answer

C9764 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9764?

Accepted Answer

Use C9764 when billing for revasc intravasc lithotripsy. 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

What ICD-10 codes are commonly used with C9764?

Accepted Answer

Common ICD-10 diagnosis codes used with C9764 include: I70.201 (Unspecified atherosclerosis of native arteries of extremities, right leg), I70.202 (Unspecified atherosclerosis of native arteries of extremities, left leg), I70.208 (Unspecified atherosclerosis of native arteries of extremities, other extremity), I70.211 (Atherosclerosis of native arteries of extremities with intermittent claudication, right leg). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is C9764 covered by Medicare?

Accepted Answer

Coverage for C9764 (Revasc intravasc lithotripsy) 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 6

What documentation is required for C9764?

Accepted Answer

Documentation for C9764 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).