How To Use HCPCS Code C1727

HCPCS code C1727 describes a specific medical device known as a catheter, balloon tissue dissector, non-vascular (insertable). This code is used to identify and bill for the use of this particular device in medical procedures. In this article, we will explore the details of HCPCS code C1727, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C1727?

HCPCS code C1727 is a unique alphanumeric code that is used to identify a specific medical device, namely a catheter, balloon tissue dissector, non-vascular (insertable). This code is essential for medical coders and billers to accurately document and bill for the use of this device in medical procedures.

2. Official Description

The official description of HCPCS code C1727 is “Catheter, balloon tissue dissector, non-vascular (insertable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions provide a concise summary of the device and its purpose.

3. Procedure

1. Prepare the patient for the procedure, ensuring proper positioning and sterilization.
2. Locate the insertion site and clean the area with an antiseptic solution.
3. Administer local anesthesia to numb the area, if necessary.
4. Insert the catheter, balloon tissue dissector into the designated area.
5. Inflate the balloon to create a dissection plane.
6. Perform the necessary tissue dissection using the catheter.
7. Monitor the patient’s condition throughout the procedure.
8. Remove the catheter, balloon tissue dissector once the procedure is complete.
9. Properly dispose of the used device and clean the insertion site.

4. When to use HCPCS code C1727

HCPCS code C1727 should be used when a healthcare provider utilizes a catheter, balloon tissue dissector, non-vascular (insertable) during a medical procedure. It is important to accurately document the use of this device to ensure proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1727, healthcare providers should ensure that the following documentation requirements are met:

• Clearly indicate the use of the catheter, balloon tissue dissector, non-vascular (insertable) in the medical procedure.
• Include the date and time of the procedure.
• Provide a detailed description of the procedure performed.
• Include any relevant supporting documentation, such as medical records or imaging results.

6. Historical Information and Code Maintenance

HCPCS code C1727 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 to the code since its addition.

7. Medicare and Insurance Coverage

HCPCS code C1727 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, which means that it is not applicable as HCPCS priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1727 should be billed:

1. A surgeon uses a catheter, balloon tissue dissector during a laparoscopic procedure to dissect and remove a tumor.
2. An interventional radiologist utilizes the catheter, balloon tissue dissector to create a dissection plane during a minimally invasive procedure to treat a vascular condition.
3. A gynecologist performs a hysteroscopic procedure using the catheter, balloon tissue dissector to remove abnormal tissue from the uterine cavity.
4. A urologist uses the catheter, balloon tissue dissector to dissect and remove bladder stones during a cystoscopy procedure.
5. An orthopedic surgeon utilizes the catheter, balloon tissue dissector to create a dissection plane during a minimally invasive joint replacement procedure.