Question 1

What is HCPCS code C9765?

Accepted Answer

HCPCS code C9765 is "Revasc intra lithotrip-stent". Revascularization, endovascular, open or percutaneous, lower extremity artery(ies), except tibial/peroneal; with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed

Question 2

What category is C9765 in?

Accepted Answer

C9765 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9765?

Accepted Answer

Use C9765 when billing for revasc intra lithotrip-stent. 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 C9765?

Accepted Answer

Common ICD-10 diagnosis codes used with C9765 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 C9765 covered by Medicare?

Accepted Answer

Coverage for C9765 (Revasc intra lithotrip-stent) 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 C9765?

Accepted Answer

Documentation for C9765 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).