HCPCS code C8930 — Tte w or w/o contr, cont ecg. Status: Active. Effective Jan 1, 2009. Source: CMS HCPCS Level II.

C8930

Active

Tte w or w/o contr, cont ecg

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; including performance of continuous electrocardiographic monitoring, with physician supervision

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 C8930 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 C8930 without appropriate documentation.

Column 2 Code Modifier
C8929 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

C8930 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
C8928 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)