How To Use HCPCS Code C1713

HCPCS code C1713 describes an anchor or screw used for opposing bone-to-bone or soft tissue-to-bone fixation. This code is specifically used to identify implantable devices that are utilized in surgical procedures to provide stability and support in cases where bone-to-bone or soft tissue-to-bone attachment is required.

1. What is HCPCS C1713?

HCPCS code C1713 is a specific code used in medical coding to identify the anchor or screw used for opposing bone-to-bone or soft tissue-to-bone fixation. This code is essential for accurately documenting and billing for the implantable device used in surgical procedures.

2. Official Description

The official description of HCPCS code C1713 is “Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)”. The short description for this code is “Enteral supp not otherwise c”.

3. Procedure

1. The provider begins the procedure by identifying the specific bone-to-bone or soft tissue-to-bone attachment site that requires stabilization.
2. Using appropriate surgical instruments, the provider prepares the site by removing any damaged or diseased tissue.
3. The anchor or screw is then inserted into the bone or soft tissue, providing stability and support.
4. The provider ensures proper placement and fixation of the anchor or screw to ensure optimal results.
5. Finally, the surgical site is closed and appropriate post-operative care instructions are provided to the patient.

4. When to use HCPCS code C1713

HCPCS code C1713 should be used when documenting and billing for surgical procedures that involve the use of an anchor or screw for opposing bone-to-bone or soft tissue-to-bone fixation. This code is applicable in cases where the implantable device is necessary to provide stability and support in the specific bone or soft tissue attachment site.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1713, healthcare providers need to ensure proper documentation of the surgical procedure, including the need for the anchor or screw and the specific bone or soft tissue attachment site. It is important to include detailed information about the procedure, such as the surgical approach, the type and size of the anchor or screw used, and any additional procedures performed in conjunction with the fixation.

6. Historical Information and Code Maintenance

HCPCS code C1713 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.

7. Medicare and Insurance Coverage

HCPCS code C1713 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions regarding coverage and reimbursement for HCPCS code C1713.

8. Examples

Here are five examples of when HCPCS code C1713 should be billed:

1. A patient undergoes a surgical procedure to repair a torn rotator cuff. During the procedure, an anchor is used to secure the reattached tendon to the bone.
2. A patient with severe osteoarthritis undergoes a joint replacement surgery. The surgeon utilizes screws to fixate the artificial joint to the bone for stability.
3. A patient with a fractured ankle requires surgical intervention. The surgeon uses an anchor to stabilize the ligaments and promote proper healing.
4. A patient with a spinal deformity undergoes corrective surgery. The surgeon utilizes screws to fixate the vertebrae in the desired alignment.
5. A patient with a torn ACL undergoes reconstructive surgery. The surgeon uses an anchor to secure the new ligament in place.