C8936 HCPCS code: Magnetic resonance angiography without contrast followed by with contrast, upper extremity
C8936 is the HCPCS Level II code for magnetic resonance angiography without contrast followed by with contrast, upper extremity. 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 2 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 | I2D |
| Added | 2010-10-01 |
| Last action effective | 2010-10-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 2 | Anatomic Consideration |
| practitioner claims | 2 | Anatomic Consideration |
Medicare policy articles for this code
- A56747: Billing and Coding: Magnetic Resonance Angiography (MRA) (Wellpoint Federal (MAC - Part A, MAC - Part B))
- A56775: Billing and Coding: Magnetic Resonance Angiography (Palmetto GBA (MAC - Part A, MAC - Part B))
- A56775: Billing and Coding: Magnetic Resonance Angiography (Palmetto GBA (MAC - Part A, MAC - Part B))
Covered diagnoses (1,864 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| C70.0 | Malignant neoplasm of cerebral meninges | 2 |
| C71.0 | Malignant neoplasm of cerebrum, except lobes and ventricles | 2 |
| C71.1 | Malignant neoplasm of frontal lobe | 2 |
| C71.2 | Malignant neoplasm of temporal lobe | 2 |
| C71.3 | Malignant neoplasm of parietal lobe | 2 |
| C71.4 | Malignant neoplasm of occipital lobe | 2 |
| C71.5 | Malignant neoplasm of cerebral ventricle | 2 |
| C71.6 | Malignant neoplasm of cerebellum | 2 |
| C71.7 | Malignant neoplasm of brain stem | 2 |
| C71.8 | Malignant neoplasm of overlapping sites of brain | 2 |
Showing 10 of 1,864. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for C8936
- 2010-10-01: C8936 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 C8936?
C8936 is the HCPCS Level II code for magnetic resonance angiography without contrast followed by with contrast, upper extremity. Short descriptor: "Mra, w/o&w/dye, upper extr".
Does Medicare cover C8936?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for C8936?
Medicare policy articles that cite C8936 list 1,864 covered ICD-10-CM diagnosis codes across 3 articles. The most cited include C70.0 (Malignant neoplasm of cerebral meninges), C71.0 (Malignant neoplasm of cerebrum, except lobes and ventricles), C71.1 (Malignant neoplasm of frontal lobe). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of C8936 can be billed per day?
2 on outpatient hospital claims; 2 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 C8936
- Watch C8936 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for C8936
Sources: CMS HCPCS Level II release October 2026; 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.