How To Use HCPCS Code C1752

HCPCS code C1752 describes a catheter used for hemodialysis or peritoneal dialysis on a short-term basis. This code is specifically 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 C1752, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS C1752?

HCPCS code C1752 is used to identify a catheter that is utilized for short-term hemodialysis or peritoneal dialysis. This code specifically refers to the supply of the catheter and does not encompass other enteral supplies. It is important for medical coders to accurately assign this code to ensure proper reimbursement for the provided service.

2. Official Description

The official description of HCPCS code C1752 is “Catheter, hemodialysis/peritoneal, short-term.” The short description for this code is “Enteral supp not otherwise c.” These descriptions accurately represent the purpose and nature of the catheter being coded.

3. Procedure

1. Ensure the patient is in a suitable position for catheter insertion.
2. Prepare the catheter insertion site by cleaning and sterilizing the area.
3. Anesthetize the insertion site, if necessary, to minimize patient discomfort.
4. Insert the catheter into the appropriate blood vessel or peritoneal cavity, following established medical guidelines and protocols.
5. Secure the catheter in place using sutures or other appropriate methods.
6. Connect the catheter to the appropriate dialysis or infusion equipment.
7. Monitor the patient during the dialysis or infusion procedure to ensure proper functioning of the catheter.
8. Remove the catheter once the short-term hemodialysis or peritoneal dialysis is complete.

4. When to use HCPCS code C1752

HCPCS code C1752 should be used when billing for the supply of a short-term hemodialysis or peritoneal dialysis catheter. It is important to ensure that the catheter being coded matches the description provided in the official HCPCS code documentation. This code should not be used for other enteral supplies or for long-term catheters.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1752, healthcare providers need to document the medical necessity of the catheter and the specific details of the procedure performed. This documentation should include the patient’s medical condition, the reason for the short-term dialysis, and any relevant supporting information. Additionally, providers should follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1752 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code C1752 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using methods other than the Medicare fee schedule. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for additional guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code C1752 should be billed:

1. A patient with end-stage renal disease requiring short-term hemodialysis.
2. A patient undergoing peritoneal dialysis for a temporary period.
3. A patient receiving hemodialysis during a hospital stay for acute kidney injury.
4. A patient with peritonitis requiring short-term peritoneal dialysis.
5. A patient undergoing dialysis as a bridge to kidney transplantation.