Question 1

What is HCPCS code C9793?

Accepted Answer

HCPCS code C9793 is "Pre 3d mdl w/ccta and/or mri". 3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report

Question 2

What category is C9793 in?

Accepted Answer

C9793 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9793?

Accepted Answer

Use C9793 when billing for pre 3d mdl w/ccta and/or mri. 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 C9793 covered by Medicare?

Accepted Answer

Coverage for C9793 (Pre 3d mdl w/ccta and/or mri) 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 C9793?

Accepted Answer

Documentation for C9793 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).