HCPCS code C8936 — Mra, w/o&w/dye, upper extr.
Status: Active.
Effective Oct 1, 2010.
Source: CMS HCPCS Level II.
C8936
ActiveMra, w/o&w/dye, upper extr
Magnetic resonance angiography without contrast followed by with 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:
5572
MUE — Medically Unlikely Edits
Maximum units of C8936 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 C8936 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| C8934 | Modifier cannot bypass edit |
| C8935 | Modifier cannot bypass edit |
| J1642 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)