Question 1

What is HCPCS code C9797?

Accepted Answer

HCPCS code C9797 is "Vasc emb/occ w/prs cath". Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction

Question 2

What category is C9797 in?

Accepted Answer

C9797 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9797?

Accepted Answer

Use C9797 when billing for vasc emb/occ w/prs cath. 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 C9797 covered by Medicare?

Accepted Answer

Coverage for C9797 (Vasc emb/occ w/prs cath) 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 C9797?

Accepted Answer

Documentation for C9797 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).