HCPCS code C8935 — Mra, w/o dye, upper extr. Status: Active. Effective Oct 1, 2010. Source: CMS HCPCS Level II.

C8935

Active

Mra, w/o dye, upper extr

Magnetic resonance angiography without contrast, upper extremity

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Oct 1, 2010
Code type: alphanumeric
OPPS Status: Q3 — Codes that may be paid through a composite APC
OPPS APC: 5523

MUE — Medically Unlikely Edits

Maximum units of C8935 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 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits

NCCI Edits

The following codes cannot be billed together with C8935 without appropriate documentation.

Column 2 Code Modifier
J1642 Modifier may bypass edit

Source: CMS National Correct Coding Initiative (NCCI)

NCCI Edits — Reverse Direction

C8935 cannot be billed together with the following column 1 codes without appropriate documentation.

Column 1 Code Modifier
C8934 Modifier cannot bypass edit
C8936 Modifier cannot bypass edit

Source: CMS National Correct Coding Initiative (NCCI)