How To Use HCPCS Code C1724

HCPCS code C1724 describes a catheter used for transluminal atherectomy, specifically a rotational catheter. This code is used to identify and bill for this specific medical device or supply. In this article, we will explore the details of HCPCS code C1724, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C1724?

HCPCS code C1724 is used to identify a catheter that is utilized for transluminal atherectomy procedures. More specifically, it refers to a rotational catheter. This code is essential for medical coders and billers to accurately document and bill for the use of this specific catheter during procedures.

2. Official Description

The official description of HCPCS code C1724 is “Catheter, transluminal atherectomy, rotational.” This description precisely defines the purpose and function of the catheter in medical procedures. The short description for this code is “Enteral supp not otherwise c,” which indicates that it is related to enteral support but does not provide further details.

3. Procedure

1. The provider begins the procedure by accessing the patient’s blood vessels using a percutaneous approach.
2. The rotational atherectomy catheter, represented by HCPCS code C1724, is then inserted into the blood vessel.
3. Using rotational motion, the catheter is guided to the site of the atherosclerotic plaque.
4. The rotational motion of the catheter helps to remove or break up the plaque, restoring blood flow through the vessel.
5. Once the procedure is complete, the catheter is carefully removed from the patient.

4. When to use HCPCS code C1724

HCPCS code C1724 should be used when a rotational atherectomy catheter is utilized during a transluminal atherectomy procedure. It is important to accurately document the use of this specific catheter to ensure proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1724, healthcare providers need to document the following:

• The specific procedure performed using the rotational atherectomy catheter
• The medical necessity for using this specific catheter
• The patient’s medical records supporting the need for the procedure

Providers should also ensure that the documentation aligns with the guidelines and requirements set forth by Medicare and other insurance carriers.

6. Historical Information and Code Maintenance

HCPCS code C1724 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 for medical coders and billers to stay updated on any changes or revisions related to this code.

7. Medicare and Insurance Coverage

HCPCS code C1724 is subject to specific coverage instructions, as indicated by the coverage code D. This means that special coverage instructions apply when billing for this code. The pricing indicator code for this code is 57, which signifies that it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C1724 should be billed:

1. A patient undergoes a transluminal atherectomy procedure using a rotational atherectomy catheter to remove plaque from a coronary artery.
2. A physician performs a transluminal atherectomy procedure using a rotational atherectomy catheter to treat peripheral artery disease in a patient’s leg.
3. A patient with a history of atherosclerosis undergoes a transluminal atherectomy procedure using a rotational atherectomy catheter to improve blood flow in a carotid artery.
4. A cardiologist performs a transluminal atherectomy procedure using a rotational atherectomy catheter to treat a patient with severe coronary artery disease.
5. A patient with a blocked femoral artery undergoes a transluminal atherectomy procedure using a rotational atherectomy catheter to restore blood flow.