Question 1

What is HCPCS code C9784?

Accepted Answer

HCPCS code C9784 is "Endo sleeve gastro w/tube". Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components

Question 2

What category is C9784 in?

Accepted Answer

C9784 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9784?

Accepted Answer

Use C9784 when billing for endo sleeve gastro w/tube. 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 C9784 covered by Medicare?

Accepted Answer

Coverage for C9784 (Endo sleeve gastro w/tube) 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 C9784?

Accepted Answer

Documentation for C9784 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).