HCPCS Code Details - C9791

HCPCS Level II Code
Temporary Codes for Use with Outpatient Prospective Payment System
HCPCS Code C9791
Description

Long description:
Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent

Short description:
Mri hyperpolarized xenon129

HCPCS Modifier1
HCPCS Pricing indicator 53 - Statute
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Statute number 1833(t)
Coverage code D - Special coverage instructions apply
BETOS2 code I2D - Advanced imaging - MRI/MRA: other
HCPCS Action code N - No maintenance for this code
Type of service 4 - Diagnostic radiology
Effective date Effective Oct 01, 2023
Date added Added Oct 01, 2023
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS C9790 · Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance

  • HCPCS C8903 · Magnetic resonance imaging with contrast, breast; unilateral

  • HCPCS C8904 · Magnetic resonance imaging without contrast, breast; unilateral

  • HCPCS C8905 · Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral

  • HCPCS C8906 · Magnetic resonance imaging with contrast, breast; bilateral

  • HCPCS C8907 · Magnetic resonance imaging without contrast, breast; bilateral

  • HCPCS C8908 · Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral

  • HCPCS S8042 · Magnetic resonance imaging (mri), low-field

  • HCPCS C9792 · Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”