HCPCS code C8928 — Tte w or w/o fol w/con,stres.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
C8928
ActiveTte w or w/o fol w/con,stres
Transthoracic echocardiography with contrast, or without contrast followed by with contrast, real-time with image documentation (2d), includes m-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report
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 C8928 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 C8928 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| C8923 | Modifier may bypass edit |
| C8924 | Modifier may bypass edit |
| C8925 | Modifier may bypass edit |
| C8927 | Modifier cannot bypass edit |
| C8929 | Modifier may bypass edit |
| C8930 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)