HCPCS code C8957 — Prolonged iv inf, req pump.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
C8957
ActiveProlonged iv inf, req pump
Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours), requiring use of portable or implantable pump
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5693
MUE — Medically Unlikely Edits
Maximum units of C8957 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 C8957 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)