How To Use HCPCS Code C1300

HCPCS code C1300 describes the procedure of hyperbaric oxygen under pressure in a full body chamber, per 30 minute interval. This code is used to identify the specific service provided and is essential for accurate medical coding and billing.

1. What is HCPCS C1300?

HCPCS code C1300 is a specific code used in medical coding to identify the procedure of hyperbaric oxygen therapy. This therapy involves the administration of oxygen under increased atmospheric pressure in a full body chamber. The therapy is performed in 30-minute intervals and is used to treat various medical conditions.

2. Official Description

The official description of HCPCS code C1300 is “Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval.” This description accurately reflects the nature of the procedure and provides a clear understanding of what the code represents.

3. Procedure

1. The patient is positioned inside a full body chamber.
2. The chamber is pressurized to a level higher than atmospheric pressure.
3. Oxygen is administered to the patient through a mask or hood.
4. The patient remains in the chamber for a 30-minute interval.
5. After the interval, the pressure is gradually reduced, and the patient is safely removed from the chamber.

This procedure is repeated as necessary based on the patient’s condition and treatment plan.

4. When to use HCPCS code C1300

HCPCS code C1300 is used when a healthcare provider performs hyperbaric oxygen therapy in a full body chamber. This therapy is typically used to treat conditions such as decompression sickness, non-healing wounds, carbon monoxide poisoning, and certain infections. It is important to ensure that the patient meets the specific eligibility criteria for this therapy before using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1300, healthcare providers need to document the medical necessity of the procedure and provide supporting documentation. This may include the patient’s medical history, the reason for the therapy, and any relevant diagnostic test results. It is important to follow the specific billing guidelines provided by Medicare or other insurance carriers to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1300 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 1996. This code has no maintenance actions, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code was terminated on December 31, 2014, and is no longer valid for billing purposes.

7. Medicare and Insurance Coverage

Medicare and other insurance carriers may provide coverage for hyperbaric oxygen therapy under certain circumstances. The pricing indicator code 57 indicates that this service is priced by other carriers. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. It is important to check with the specific insurance carrier for their coverage policies and reimbursement rates.

8. Examples

Here are five examples of when HCPCS code C1300 should be billed:

1. A patient with non-healing diabetic foot ulcers receives hyperbaric oxygen therapy in a full body chamber for a total of six 30-minute intervals.
2. A scuba diver presents with symptoms of decompression sickness and undergoes hyperbaric oxygen therapy in a full body chamber for a total of three 30-minute intervals.
3. A patient with carbon monoxide poisoning receives hyperbaric oxygen therapy in a full body chamber for a total of two 30-minute intervals.
4. A patient with a non-healing surgical wound undergoes hyperbaric oxygen therapy in a full body chamber for a total of four 30-minute intervals.
5. A patient with a severe infection receives hyperbaric oxygen therapy in a full body chamber for a total of eight 30-minute intervals.