HCPCS code C9739 — Cystoscopy prostatic imp 1-3.
Status: Active.
Effective Apr 1, 2014.
Source: CMS HCPCS Level II.
C9739
ActiveCystoscopy prostatic imp 1-3
Cystourethroscopy, with insertion of transprostatic implant; 1 to 3 implants
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Apr 1, 2014
Code type:
alphanumeric
OPPS Status:
J1
— Hospital Part B services paid through a comprehensive APC (C-APC)
OPPS APC:
5375
MUE — Medically Unlikely Edits
Maximum units of C9739 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 C9739 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0463 | Modifier may bypass edit |
| G0471 | Modifier cannot bypass edit |
| P9612 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
C9739 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| C9740 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)