C9791 HCPCS - MAGNETIC RESONANCE IMAGING WITH INHALED HYPERPOLARIZED XENON-129 CONTRAST AGENT, CHEST, INCLUDING PREPARATION AND ADMINISTRATION OF AGENT

Code Information

  • HCPCS Code: C9791
  • Sequence Number: 0010
  • Short Description: Mri hyperpolarized xenon129
  • Long Description: Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
  • Date Added: 10/1/2023
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 10/1/2023
  • Classification: Temporary Hospital Outpatient Prospective Payment System
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: I2D - Advanced imaging - MRI/MRA: other
  • Type Of Service Code:
    • 4 - Diagnostic radiology

Billing Information

  • Pricing Indicator Code:
    • 53 - Statute
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
        N/A
      • Coverage Code: D - Special coverage instructions apply

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code C9791
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Magnetic resonance imaging with inhaled hyperpolarized xenon-129 contrast agent, chest, including preparation and administration of agent
      HCPCS Short Description Mri hyperpolarized xenon129
      HCPCS Pricing Indicator Code 1 53 - Statute
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Statute Number 1833(t)
      HCPCS Coverage Code D - Special coverage instructions apply
      HCPCS Berenson-Eggers Type Of Service Code I2D - Advanced imaging - MRI/MRA: other
      HCPCS Type Of Service Code 1 4 - Diagnostic radiology
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 10/1/2023
      HCPCS Action Effective Date 10/1/2023
      HCPCS Action Code N - No maintenance for this code

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      This page was last updated on: 7/1/2024