HCPCS code C8922 — Tte w or w/o fol w/cont, f/u.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
C8922
ActiveTte w or w/o fol w/cont, f/u
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5573
MUE — Medically Unlikely Edits
Maximum units of C8922 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 — Reverse Direction
C8922 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C8921 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)