Question 1

What is HCPCS code C9759?

Accepted Answer

HCPCS code C9759 is "Transcath intraop microinf". Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed

Question 2

What category is C9759 in?

Accepted Answer

C9759 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C9759?

Accepted Answer

Use C9759 when billing for transcath intraop microinf. 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 C9759 covered by Medicare?

Accepted Answer

Coverage for C9759 (Transcath intraop microinf) 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 C9759?

Accepted Answer

Documentation for C9759 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).