How To Use HCPCS Code C1749

HCPCS code C1749 describes an endoscope device used for retrograde imaging and illumination of the colon. This implantable device is used in medical procedures to visualize and examine the colon for diagnostic or therapeutic purposes. In this article, we will delve into the details of HCPCS code C1749, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1749?

HCPCS code C1749 is used to identify an endoscope device specifically designed for retrograde imaging and illumination of the colon. This code is used to represent an implantable device that allows medical professionals to visualize and examine the colon during procedures. It is important to note that this code is specific to the device itself and does not encompass any other services or supplies that may be associated with the procedure.

2. Official Description

The official description of HCPCS code C1749 is “Endoscope, retrograde imaging/illumination colonoscope device (implantable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions accurately depict the purpose and nature of the device represented by this code.

3. Procedure

1. The procedure involving HCPCS code C1749 typically begins with the insertion of the implantable colonoscope device into the patient’s colon.
2. The device is carefully maneuvered through the colon to visualize and examine the internal structures.
3. Retrograde imaging and illumination techniques are employed to enhance the visibility of the colon and aid in the identification of any abnormalities or pathologies.
4. During the procedure, the medical professional may perform additional interventions or collect samples for further analysis.
5. Once the examination is complete, the device is carefully removed from the colon.

4. When to use HCPCS code C1749

HCPCS code C1749 should be used when an implantable endoscope device specifically designed for retrograde imaging and illumination of the colon is utilized during a medical procedure. It is important to ensure that the device meets the specifications outlined in the code description before assigning this code. Additionally, it is crucial to follow any specific eligibility criteria or guidelines provided by payers or regulatory bodies when using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1749, healthcare providers must ensure that the necessary documentation is in place to support the use of this code. This may include detailed procedure notes, medical records, and any other relevant documentation that demonstrates the medical necessity and appropriateness of utilizing the implantable colonoscope device. It is essential to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1749 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 to stay updated with any changes or revisions to the code, as well as any historical context that may impact its usage.

7. Medicare and Insurance Coverage

HCPCS code C1749 is subject to coverage and reimbursement policies set 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. It is important to verify coverage and reimbursement policies with the respective payer to ensure proper billing and reimbursement.

8. Examples

Here are five examples illustrating scenarios where HCPCS code C1749 should be billed:

1. A patient undergoes a colonoscopy procedure, and an implantable retrograde imaging/illumination colonoscope device is used for visualization and examination of the colon.
2. A medical professional performs a therapeutic procedure in the colon using an implantable endoscope device for retrograde imaging and illumination.
3. During a diagnostic procedure, a physician utilizes an implantable colonoscope device to visualize and identify any abnormalities in the colon.
4. A patient with a history of colon-related issues undergoes a surveillance colonoscopy using an implantable retrograde imaging/illumination colonoscope device.
5. In a minimally invasive surgical procedure, an implantable colonoscope device is used to assist in the visualization and navigation of the colon.