How To Use HCPCS Code C1747

HCPCS code C1747 describes a single-use endoscope specifically designed for imaging and illumination of the urinary tract. This disposable device is used for diagnostic and therapeutic procedures related to the urinary system. In this article, we will explore the details of HCPCS code C1747, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1747?

HCPCS code C1747 is used to identify a single-use endoscope that is inserted into the urinary tract for imaging and illumination purposes. This code is specific to disposable devices and is not applicable to reusable endoscopes. It is important to use this code accurately to ensure proper reimbursement and documentation for the services provided.

2. Official Description

The official description of HCPCS code C1747 is “Endoscope, single-use (i.e. disposable), urinary tract, imaging/illumination device (insertable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions provide a clear understanding of the purpose and nature of the device associated with this code.

3. Procedure

1. Prepare the patient for the procedure and ensure their comfort.
2. Insert the single-use endoscope into the urinary tract.
3. Activate the imaging and illumination functions of the device.
4. Perform the necessary diagnostic or therapeutic procedures while visualizing the urinary tract.
5. Remove the disposable endoscope after the procedure is complete.

4. When to use HCPCS code C1747

HCPCS code C1747 should be used when a healthcare provider utilizes a single-use endoscope for imaging and illumination of the urinary tract. It is important to note that this code is not applicable for procedures involving reusable endoscopes or for other anatomical areas outside the urinary tract. Providers should review the specific documentation requirements and guidelines from payers to ensure accurate usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for services or supplies associated with HCPCS code C1747, healthcare providers need to document the following information:

• Date of service
• Description of the procedure performed using the single-use endoscope
• Medical necessity for the procedure
• Any relevant findings or observations
• Provider’s signature and credentials

Providers should also follow the specific billing guidelines and requirements of the payer to ensure proper reimbursement for the services provided.

6. Historical Information and Code Maintenance

HCPCS code C1747 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.

7. Medicare and Insurance Coverage

HCPCS code C1747 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers using their own methodology. The multiple pricing indicator code A signifies that the code is not applicable for pricing under multiple methodologies. Providers should review the specific coverage policies and reimbursement rates of each payer to ensure accurate billing and reimbursement.

8. Examples

Here are five examples of scenarios where HCPCS code C1747 should be billed:

1. A patient undergoes a diagnostic cystoscopy using a single-use endoscope for visualization of the urinary tract.
2. A healthcare provider performs a ureteroscopy with laser lithotripsy using a disposable endoscope for the treatment of urinary stones.
3. A patient undergoes a transurethral resection of bladder tumor (TURBT) using a single-use endoscope for the removal of bladder tumors.
4. A provider performs a urethrotomy using a disposable endoscope for the treatment of urethral strictures.
5. A patient undergoes a ureteral stent placement using a single-use endoscope for the management of ureteral obstruction.