How To Use HCPCS Code C1750

HCPCS code C1750 describes a specific type of catheter used for long-term hemodialysis or peritoneal dialysis. This code is used to identify the supply of the catheter and is not applicable for other enteral supplies. In this article, we will explore the details of HCPCS code C1750, 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 C1750?

HCPCS code C1750 is used to identify a catheter specifically designed for long-term hemodialysis or peritoneal dialysis. This code is not applicable for other enteral supplies and should only be used when billing for the catheter used in these dialysis procedures.

2. Official Description

The official description of HCPCS code C1750 is “Catheter, hemodialysis/peritoneal, long-term.” The short description is “Enteral supp not otherwise c.” This description accurately represents the purpose and use of this specific catheter.

3. Procedure

1. The provider will first prepare the patient for the dialysis procedure, ensuring that the necessary equipment and supplies are readily available.
2. The provider will then insert the catheter into the appropriate site, either for hemodialysis or peritoneal dialysis, following sterile techniques and guidelines.
3. Once the catheter is properly placed, the provider will secure it in position to prevent any movement or dislodgement during the dialysis procedure.
4. After the dialysis procedure is complete, the provider will remove the catheter, ensuring that the site is properly cleaned and dressed to prevent infection.

4. When to use HCPCS code C1750

HCPCS code C1750 should be used when billing for the supply of a long-term hemodialysis or peritoneal dialysis catheter. It is important to ensure that the catheter is specifically designed for long-term use and is used in the appropriate dialysis procedure.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1750, healthcare providers should ensure that the following documentation is included:

• A detailed description of the catheter used, including the brand, model, and any specific features or characteristics.
• The date of service and the duration of catheter use.
• Any relevant medical records or notes indicating the medical necessity of the catheter for the specific dialysis procedure.

6. Historical Information and Code Maintenance

HCPCS code C1750 was added to the Healthcare Common Procedure Coding System on January 01, 1985. 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 has a pricing indicator code of 57, indicating that it is priced by other carriers, and a multiple pricing indicator code of A, which means it is not applicable as HCPCS priced under one methodology.

7. Medicare and Insurance Coverage

HCPCS code C1750 is eligible for coverage by Medicare and other insurance providers. However, it is important to check with individual payers for specific coverage guidelines and requirements. The pricing indicator code 57 indicates that the service or supply is priced by other carriers, and the multiple pricing indicator code A means that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C1750 should be billed:

1. A patient with end-stage renal disease requiring long-term hemodialysis receives a new catheter for dialysis access.
2. A patient with peritoneal dialysis requires a replacement catheter due to malfunction or infection.
3. A patient with chronic kidney disease undergoes a catheter insertion procedure in preparation for future hemodialysis.
4. A patient with a history of peritoneal dialysis requires a new long-term catheter due to catheter-related complications.
5. A patient with a previous kidney transplant experiences graft failure and requires long-term hemodialysis, necessitating the use of a catheter.