Question 1

What is HCPCS code C9768?

Accepted Answer

HCPCS code C9768 is "Endo us-guide hep porto grad". Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)

Question 2

What category is C9768 in?

Accepted Answer

C9768 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9768?

Accepted Answer

Use C9768 when billing for endo us-guide hep porto grad. 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 C9768 covered by Medicare?

Accepted Answer

Coverage for C9768 (Endo us-guide hep porto grad) 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 C9768?

Accepted Answer

Documentation for C9768 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).