Question 1

What is HCPCS code C9788?

Accepted Answer

HCPCS code C9788 is "Uni breas optoacoustic imag". Opto-acoustic imaging, breast (including axilla when performed), unilateral, with image documentation, analysis and report, obtained with ultrasound examination

Question 2

What category is C9788 in?

Accepted Answer

C9788 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9788?

Accepted Answer

Use C9788 when billing for uni breas optoacoustic imag. 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 C9788 covered by Medicare?

Accepted Answer

Coverage for C9788 (Uni breas optoacoustic imag) 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 C9788?

Accepted Answer

Documentation for C9788 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).