How To Use HCPCS Code C1748

HCPCS code C1748 describes a single-use endoscope that is specifically designed for upper gastrointestinal (GI) procedures. This disposable device is used for imaging and illumination purposes, and it is inserted into the patient’s GI tract. In this article, we will explore the details of HCPCS code C1748, 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 C1748?

HCPCS code C1748 is used to identify a single-use endoscope that is utilized for imaging and illumination during upper GI procedures. This code is specifically designed for disposable devices, ensuring optimal safety and hygiene standards. It is important to note that HCPCS codes are used for medical coding and billing purposes, allowing healthcare providers to accurately document and bill for the services or supplies they provide.

2. Official Description

The official description of HCPCS code C1748 is “Endoscope, single-use (i.e. disposable), upper GI, imaging/illumination device (insertable)”. The short description for this code is “Enteral supp not otherwise c”. These descriptions provide a clear understanding of the purpose and nature of the endoscope covered by this code.

3. Procedure

1. The healthcare provider prepares the patient for the upper GI procedure, ensuring that the patient is in a comfortable and safe position.
2. The disposable endoscope covered by HCPCS code C1748 is carefully inserted into the patient’s GI tract.
3. Once inserted, the endoscope provides imaging and illumination capabilities, allowing the healthcare provider to visualize the upper GI area.
4. The healthcare provider performs the necessary procedures or examinations using the imaging and illumination provided by the endoscope.
5. After the procedure is completed, the disposable endoscope is safely removed and disposed of, ensuring proper infection control measures.

4. When to use HCPCS code C1748

HCPCS code C1748 should be used when a healthcare provider utilizes a single-use endoscope for imaging and illumination during upper GI procedures. It is important to note that this code is specifically for disposable devices and should not be used for reusable endoscopes. Healthcare providers should follow the specific eligibility criteria and guidelines for using this code to ensure accurate coding and billing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1748, healthcare providers need to ensure proper documentation of the procedure and the use of the single-use endoscope. This documentation should include details such as the patient’s medical history, the specific upper GI procedure performed, and the medical necessity for using a disposable endoscope. It is crucial to follow the billing guidelines provided by insurance companies and Medicare to ensure proper reimbursement for the services provided.

6. Historical Information and Code Maintenance

HCPCS code C1748 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 C1748 is covered by Medicare and other insurance carriers. 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 this code is not applicable for HCPCS pricing under one methodology. Healthcare providers should refer to 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 C1748 should be billed:

1. A patient undergoes an upper GI endoscopy for diagnostic purposes, and a single-use endoscope is used for imaging and illumination.
2. A healthcare provider performs a therapeutic upper GI procedure using a disposable endoscope covered by HCPCS code C1748.
3. During a routine upper GI examination, the healthcare provider utilizes a single-use endoscope to visualize the GI tract.
4. A patient with a suspected GI abnormality undergoes an upper GI procedure, and a disposable endoscope is used to aid in the diagnosis.
5. A healthcare provider performs an upper GI biopsy using a single-use endoscope for accurate visualization and sampling.