How To Use HCPCS Code C1600

HCPCS code C1600 describes a catheter, specifically a transluminal intravascular lesion preparation device that is bladed and sheathed. This insertable catheter is used in medical procedures to prepare and treat intravascular lesions. In this article, we will explore the details of HCPCS code C1600, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1600?

HCPCS code C1600 is used to identify a specific type of catheter known as a transluminal intravascular lesion preparation device. This catheter is designed with blades and a sheath, making it suitable for insertable use. It is primarily utilized in medical procedures to prepare and treat intravascular lesions. The code C1600 is essential for accurately documenting and billing for the use of this specific catheter.

2. Official Description

The official description of HCPCS code C1600 is “Catheter, transluminal intravascular lesion preparation device, bladed, sheathed (insertable).” The short description for this code is “Parenteral supp not othrws c.” These descriptions provide a concise summary of the purpose and characteristics of the catheter.

3. Procedure

1. The provider begins by preparing the patient for the catheter insertion procedure.
2. The provider locates the appropriate entry point for the catheter, typically through a blood vessel.
3. The provider carefully inserts the bladed and sheathed catheter into the designated blood vessel.
4. Once the catheter is in place, the provider uses the blades to prepare and treat intravascular lesions.
5. After the procedure is complete, the provider removes the catheter from the patient’s body.

4. When to use HCPCS code C1600

HCPCS code C1600 should be used when a provider utilizes a transluminal intravascular lesion preparation device, specifically a bladed and sheathed catheter, during a medical procedure. This code is applicable when preparing and treating intravascular lesions using this specific type of catheter.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1600, healthcare providers need to ensure proper documentation of the procedure. This includes detailing the medical necessity for using the catheter, the specific intravascular lesions being treated, and any relevant patient information. Providers should follow the billing guidelines set forth by Medicare and other insurance carriers to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1600 was added to the Healthcare Common Procedure Coding System on January 01, 1985. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code has an effective date of January 01, 1996, and has been in use since then.

7. Medicare and Insurance Coverage

HCPCS code C1600 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using other methodologies. The multiple pricing indicator code is A, meaning it is not applicable as HCPCS is priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, as it provides additional guidance on the coverage and reimbursement of this code.

8. Examples

Here are five examples of when HCPCS code C1600 should be billed:

1. A patient undergoes a cardiac catheterization procedure, and the provider uses the bladed and sheathed catheter to prepare and treat intravascular lesions.
2. A patient with peripheral artery disease receives an angioplasty procedure, and the provider utilizes the bladed and sheathed catheter to address intravascular lesions.
3. A patient with a history of deep vein thrombosis undergoes a thrombolysis procedure, and the provider employs the bladed and sheathed catheter to treat intravascular lesions.
4. A patient with a blocked coronary artery undergoes a percutaneous coronary intervention, and the provider uses the bladed and sheathed catheter to prepare and treat intravascular lesions.
5. A patient with a carotid artery stenosis receives an endovascular procedure, and the provider utilizes the bladed and sheathed catheter to address intravascular lesions.