HCPCS code C8921 — Tte w or w/o fol w/cont, com.
Status: Active.
Effective Jan 1, 2008.
Source: CMS HCPCS Level II.
C8921
ActiveTte w or w/o fol w/cont, com
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; complete
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2008
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5573
MUE — Medically Unlikely Edits
Maximum units of C8921 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with C8921 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| C8922 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)