C8927 HCPCS code: Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis
C8927 is the HCPCS Level II code for transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims.
Code details
| Field | Value |
|---|---|
| Section | C codes — Outpatient PPS (hospital outpatient temporary codes) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 53 |
| BETOS category | I3C |
| Added | 2008-01-01 |
| Last action effective | 2008-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
Medicare policy articles for this code
- A52868: Billing and Coding: Transesophageal Echocardiography (TEE) (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A56505: Billing and Coding: Transesophageal Echocardiography (TEE) (Novitas Solutions, Inc. (MAC - Part A, MAC - Part B))
- A56809: Billing and Coding: Transesophageal Echocardiography (TEE) (CGS Administrators, LLC (MAC - Part A, MAC - Part B))
- A57179: Billing and Coding: Transesophageal Echocardiogram (First Coast Service Options, Inc. (MAC - Part A, MAC - Part B))
Covered diagnoses (1,081 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A18.84 | Tuberculosis of heart | 4 |
| C38.0 | Malignant neoplasm of heart | 4 |
| C45.2 | Mesothelioma of pericardium | 4 |
| D15.1 | Benign neoplasm of heart | 4 |
| I01.1 | Acute rheumatic endocarditis | 4 |
| I01.2 | Acute rheumatic myocarditis | 4 |
| I05.0 | Rheumatic mitral stenosis | 4 |
| I05.1 | Rheumatic mitral insufficiency | 4 |
| I05.2 | Rheumatic mitral stenosis with insufficiency | 4 |
| I05.8 | Other rheumatic mitral valve diseases | 4 |
Showing 10 of 1,081. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for C8927
- 2008-01-01: C8927 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code C8927?
C8927 is the HCPCS Level II code for transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis. Short descriptor: "Tee w or w/o fol w/cont, mon".
Does Medicare cover C8927?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for C8927?
Medicare policy articles that cite C8927 list 1,081 covered ICD-10-CM diagnosis codes across 4 articles. The most cited include A18.84 (Tuberculosis of heart), C38.0 (Malignant neoplasm of heart), C45.2 (Mesothelioma of pericardium). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of C8927 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related C89 codes
- C8900 — Magnetic resonance angiography with contrast, abdomen
- C8901 — Magnetic resonance angiography without contrast, abdomen
- C8902 — Magnetic resonance angiography without contrast followed by with contrast, abdomen
- C8903 — Magnetic resonance imaging with contrast, breast; unilateral
- C8904 — Magnetic resonance imaging without contrast, breast; unilateral
- C8905 — Magnetic resonance imaging without contrast followed by with contrast, breast; unilateral
- C8906 — Magnetic resonance imaging with contrast, breast; bilateral
- C8907 — Magnetic resonance imaging without contrast, breast; bilateral
- C8908 — Magnetic resonance imaging without contrast followed by with contrast, breast; bilateral
- C8909 — Magnetic resonance angiography with contrast, chest (excluding myocardium)
- C8910 — Magnetic resonance angiography without contrast, chest (excluding myocardium)
- C8911 — Magnetic resonance angiography without contrast followed by with contrast, chest (excluding myocardium)
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Next steps
- Run a reimbursement report for a device billed under C8927
- Watch C8927 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C8927
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.