How To Use HCPCS Code C1603

HCPCS code C1603 describes a retrieval device that is insertable and uses laser technology. This device is specifically designed to retrieve intravascular inferior vena cava filters. In this article, we will explore the details of HCPCS code C1603, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C1603?

HCPCS code C1603 is used to identify a retrieval device that is insertable and utilizes laser technology. This device is specifically used for the retrieval of intravascular inferior vena cava filters. It is important to note that HCPCS codes are used for reporting medical procedures and services provided by healthcare professionals for billing and reimbursement purposes.

2. Official Description

The official description of HCPCS code C1603 is “Retrieval device, insertable, laser (used to retrieve intravascular inferior vena cava filter).” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The provider begins the procedure by accessing the patient’s intravascular inferior vena cava filter.
2. The retrieval device, which is insertable and utilizes laser technology, is carefully inserted into the patient’s body.
3. Using the laser technology, the provider navigates the retrieval device to the location of the intravascular inferior vena cava filter.
4. The provider then uses the retrieval device to securely grasp and retrieve the intravascular inferior vena cava filter.
5. Once the filter is successfully retrieved, the provider removes the retrieval device from the patient’s body.

4. When to use HCPCS code C1603

HCPCS code C1603 should be used when a healthcare professional performs a procedure to retrieve an intravascular inferior vena cava filter using an insertable retrieval device that utilizes laser technology. It is important to ensure that the procedure aligns with the specific requirements and indications outlined in the code description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1603, healthcare providers need to ensure that the following documentation requirements are met:

• Documentation of the procedure performed, including details of the retrieval device used and the specific intravascular inferior vena cava filter being retrieved.
• Supporting medical records that justify the medical necessity of the procedure.
• Accurate and complete coding of all relevant services and supplies provided during the procedure.

6. Historical Information and Code Maintenance

HCPCS code C1603 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has no maintenance actions associated with it, as indicated by the action code N, which means no maintenance for this code. This code falls under the category of enteral/parenteral nutrients/supplies, as indicated by the type of service code E.

7. Medicare and Insurance Coverage

HCPCS code C1603 is assigned a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS is priced under one methodology. Medicare and other insurance coverage for HCPCS code C1603 may vary, and it is important for healthcare providers to verify coverage and reimbursement policies with the respective payers.

8. Examples

Here are five examples of scenarios where HCPCS code C1603 may be billed:

1. A patient presents with a previously implanted intravascular inferior vena cava filter that requires retrieval due to a change in medical condition.
2. A healthcare professional performs a procedure to retrieve an intravascular inferior vena cava filter using an insertable retrieval device that utilizes laser technology.
3. A patient undergoes a successful retrieval of an intravascular inferior vena cava filter using the specified retrieval device.
4. A provider documents the procedure, including the details of the retrieval device used and the specific intravascular inferior vena cava filter being retrieved.
5. The billing department accurately codes and bills for the procedure using HCPCS code C1603.