Question 1

What is HCPCS code C9356?

Accepted Answer

HCPCS code C9356 is "Tenoglide tendon prot, cm2". Tendon, porous matrix of cross-linked collagen and glycosaminoglycan matrix (tenoglide tendon protector sheet), per square centimeter

Question 2

What category is C9356 in?

Accepted Answer

C9356 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9356?

Accepted Answer

Use C9356 when billing for tenoglide tendon prot, cm2. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C9356 covered by Medicare?

Accepted Answer

Coverage for C9356 (Tenoglide tendon prot, cm2) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C9356?

Accepted Answer

Documentation for C9356 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).