How To Use HCPCS Code C1725

HCPCS code C1725 describes a specific medical device known as a transluminal angioplasty catheter. This code is used to identify the catheter used in non-laser angioplasty procedures, which may include guidance, infusion, or perfusion capabilities. It falls under the category of parenteral supplies not otherwise classified. In this article, we will explore the details of HCPCS code C1725, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1725?

HCPCS code C1725 is a specific code used to identify the transluminal angioplasty catheter used in non-laser angioplasty procedures. It may include guidance, infusion, or perfusion capabilities. This code is categorized under parenteral supplies not otherwise classified. It is important for medical coders to accurately assign this code when reporting services involving this particular catheter.

2. Official Description

The official description of HCPCS code C1725 is “Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability).” The short description for this code is “Parenteral supp not othrws c.” It is essential to use the exact descriptions provided when assigning this code to ensure accurate reporting and billing.

3. Procedure

1. The procedure involving HCPCS code C1725 begins with the insertion of the transluminal angioplasty catheter into the desired blood vessel.
2. The catheter is then guided to the target area using imaging techniques such as fluoroscopy or ultrasound.
3. Once the catheter is in position, the angioplasty procedure is performed to widen the narrowed or blocked blood vessel.
4. This may involve inflating a balloon at the tip of the catheter to compress the plaque or using other techniques to restore proper blood flow.
5. During the procedure, the catheter may also be used for infusion or perfusion purposes, delivering medications or fluids directly to the treatment site.
6. After the angioplasty procedure is completed, the catheter is carefully removed from the patient.

It is important for medical coders to have a thorough understanding of the procedure involved in order to accurately assign HCPCS code C1725.

4. When to use HCPCS code C1725

HCPCS code C1725 should be used when reporting non-laser transluminal angioplasty procedures that involve the use of a catheter with guidance, infusion, or perfusion capabilities. It is important to note that this code is specific to parenteral supplies not otherwise classified. Medical coders should review the documentation and ensure that the procedure meets the criteria for using this code before assigning it.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies associated with HCPCS code C1725, healthcare providers need to ensure proper documentation. This includes documenting the medical necessity of the procedure, the specific details of the catheter used, and any additional services or supplies provided during the procedure. It is crucial to accurately code and bill for the procedure to avoid claim denials or delays in reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1725 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition to the coding system. It is important for medical coders to stay updated on any changes or updates related to this code.

7. Medicare and Insurance Coverage

HCPCS code C1725 is covered by Medicare and other insurance providers. 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, indicating that it is not applicable as HCPCS priced under one methodology. Healthcare providers should review the specific coverage policies of Medicare and other insurance providers to ensure proper reimbursement for services or supplies associated with this code.

8. Examples

Here are five examples of when HCPCS code C1725 should be billed:

1. A patient undergoes a non-laser transluminal angioplasty procedure using a catheter with guidance and infusion capabilities.
2. A physician performs a non-laser angioplasty procedure using a transluminal catheter with perfusion capabilities.
3. A patient receives an angioplasty procedure with the assistance of a catheter that includes both guidance and infusion capabilities.
4. A non-laser transluminal angioplasty procedure is performed using a catheter with guidance, infusion, and perfusion capabilities.
5. A physician utilizes a catheter with guidance and infusion capabilities to perform a non-laser angioplasty procedure on a patient.