`C8922`

What C8922 is

Transthoracic echocardiography with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; follow-up or limited study

HCPCS Level II long description, CMS October 2026 file. See the C codes page for the full section.

Medically Unlikely Edit (MUE)

Medicare caps C8922 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with C8922? These codes are bundled into it

C8922 is a Column 1 code in 20 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0708T`	Id ca immntx prep & 1st njx	1 - modifier may bypass	Check pair
`0709T`	Id ca immntx each addl njx	1 - modifier may bypass	Check pair
`36000`	Place needle in vein	1 - modifier may bypass	Check pair
`36005`	Injection ext venography	1 - modifier may bypass	Check pair
`36410`	Vnpnxr 3yr/> phy/qhp dx/ther	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`76998`	Us guide intraop	1 - modifier may bypass	Check pair
`93040`	Rhythm ecg with report	1 - modifier may bypass	Check pair
`93041`	Rhythm ecg tracing	1 - modifier may bypass	Check pair
`93042`	Rhythm ecg report	1 - modifier may bypass	Check pair
`93304`	Echo transthoracic	1 - modifier may bypass	Check pair
`96360`	Hydration iv infusion init	1 - modifier may bypass	Check pair
`96365`	Ther/proph/diag iv inf init	1 - modifier may bypass	Check pair
`96372`	Ther/proph/diag inj sc/im	1 - modifier may bypass	Check pair
`96374`	Ther/proph/diag inj iv push	1 - modifier may bypass	Check pair
`96375`	Tx/pro/dx inj new drug addon	1 - modifier may bypass	Check pair
`96376`	Tx/pro/dx inj same drug adon	1 - modifier may bypass	Check pair
`96377`	Applicaton on-body injector	1 - modifier may bypass	Check pair
`96523`	Irrig drug delivery device	0 - no modifier bypass	Check pair

C8922 is bundled into these codes

C8922 appears as a Column 2 code in 276 active edits. Reported with one of these Column 1 codes on the same date of service, C8922 is the code that denies.

Column 1 code	Short description	Modifier indicator
`00100`	Anes px salivary gland w/bx	1	Check pair
`00102`	Anes px plstc rpr cleft lip	1	Check pair
`00103`	Anes rcnstv px eyelid	1	Check pair
`00104`	Anes electroconvulsive ther	1	Check pair
`00120`	Anes px ear w/bx nos	1	Check pair
`00124`	Anes px ear otoscopy	1	Check pair
`00126`	Anes px ear tympanotomy	1	Check pair
`00140`	Anes procedures on eye nos	1	Check pair
`00142`	Anes px on eye lens surgery	1	Check pair
`00144`	Anes px eye corneal trnspl	1	Check pair
`00145`	Anes px eye vitreortnl surg	1	Check pair
`00147`	Anes px on eye iridectomy	1	Check pair
`00148`	Anes px eye ophthalmoscopy	1	Check pair
`00160`	Anes px nose&sinus nos	1	Check pair
`00162`	Anes px nose&sinus rad surg	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.