HCPCS code C9793 — Pre 3d mdl w/ccta and/or mri.
Status: Active.
Effective Apr 1, 2025.
Source: CMS HCPCS Level II.
C9793
ActivePre 3d mdl w/ccta and/or mri
3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Apr 1, 2025
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5724
MUE — Medically Unlikely Edits
Maximum units of C9793 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
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.