How To Use HCPCS Code C1715

HCPCS code C1715 describes a brachytherapy needle used in medical procedures. This code is used to identify and bill for the specific type of needle used in brachytherapy, a form of radiation therapy that involves placing radioactive sources directly into or near the tumor. In this article, we will explore the details of HCPCS code C1715, 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 C1715?

HCPCS code C1715 is used to identify a brachytherapy needle. Brachytherapy is a type of radiation therapy where radioactive sources are placed directly into or near the tumor. The needle described by this code is specifically designed for use in brachytherapy procedures. It is important to use this code accurately to ensure proper billing and reimbursement for the use of this specific type of needle.

2. Official Description

The official description of HCPCS code C1715 is “Brachytherapy needle.” The short description provided is “Enteral supp not otherwise c.” This description accurately identifies the code as being related to a needle used in brachytherapy procedures. It is important to use this official description when reporting this code to ensure accurate coding and billing.

3. Procedure

1. The provider begins the brachytherapy procedure by determining the appropriate placement of the radioactive sources.
2. The brachytherapy needle described by HCPCS code C1715 is then inserted into the tumor or the surrounding tissue.
3. Once the needle is in place, the radioactive sources are inserted through the needle and positioned within or near the tumor.
4. The needle is then removed, leaving the radioactive sources in place.
5. The patient is monitored and may require additional treatments or follow-up care.

It is important for the provider to follow the appropriate guidelines and protocols for brachytherapy procedures to ensure the safety and effectiveness of the treatment.

4. When to use HCPCS code C1715

HCPCS code C1715 should be used when reporting the use of a brachytherapy needle in medical procedures. This code is specific to the needle used in brachytherapy and should not be used for other types of needles or procedures. It is important to use this code accurately to ensure proper coding and billing for the use of this specific type of needle.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1715, healthcare providers should ensure that the necessary documentation is in place to support the use of this code. This may include documentation of the procedure performed, the medical necessity of using a brachytherapy needle, and any other relevant information. It is important to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1715 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has been in use for many years and has not undergone any significant changes since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C1715 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. It is important to check with individual payers for their specific coverage and reimbursement policies regarding the use of this code.

8. Examples

Here are five examples of when HCPCS code C1715 should be billed:

1. A patient undergoes brachytherapy for the treatment of prostate cancer, and the brachytherapy needle described by HCPCS code C1715 is used during the procedure.
2. A patient with cervical cancer receives brachytherapy treatment, and the brachytherapy needle described by HCPCS code C1715 is used to deliver the radioactive sources.
3. A patient with breast cancer undergoes brachytherapy as part of their treatment plan, and the brachytherapy needle described by HCPCS code C1715 is used during the procedure.
4. A patient with lung cancer receives brachytherapy treatment, and the brachytherapy needle described by HCPCS code C1715 is used to place the radioactive sources near the tumor.
5. A patient with skin cancer undergoes brachytherapy, and the brachytherapy needle described by HCPCS code C1715 is used to deliver the radioactive sources directly into the tumor.