How To Use HCPCS Code C1754

HCPCS code C1754 describes a specific medical device known as an intradiscal catheter. This code is used to identify and bill for the use of this particular catheter in medical procedures. In this article, we will explore the details of HCPCS code C1754, 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 C1754?

HCPCS code C1754 is used to identify a specific medical device called an intradiscal catheter. This catheter is used in procedures that involve the intervertebral discs of the spine. It is inserted into the disc space to deliver medication or perform other therapeutic interventions. The use of this code indicates that the provider has utilized an intradiscal catheter in the treatment of the patient.

2. Official Description

The official description of HCPCS code C1754 is “Catheter, intradiscal.” The short description is “Enteral supp not otherwise c.” This description accurately represents the purpose and function of the intradiscal catheter.

3. Procedure

1. The provider begins by preparing the patient for the procedure, ensuring that the patient is in a comfortable position.
2. Anesthesia may be administered to numb the area and minimize any potential discomfort.
3. The provider then makes a small incision near the affected intervertebral disc.
4. The intradiscal catheter is carefully inserted into the disc space through the incision.
5. Once the catheter is in place, the provider may deliver medication or perform other therapeutic interventions through the catheter.
6. After the procedure is complete, the provider removes the catheter and closes the incision.

4. When to use HCPCS code C1754

HCPCS code C1754 should be used when an intradiscal catheter is utilized in a medical procedure. This code is specific to the use of the intradiscal catheter and should not be used for other types of catheters or procedures. It is important to ensure that the documentation accurately reflects the use of the intradiscal catheter in order to support the use of this code.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1754, healthcare providers should ensure that the documentation clearly indicates the use of the intradiscal catheter in the procedure. This may include details such as the specific disc space treated, the medication or intervention delivered through the catheter, and any other relevant information. It is important to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1754 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. This code has remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code C1754 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that this code is priced by carriers other than Medicare. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. Providers should consult the Medicare Carriers Manual Reference Section Number 2130 for specific guidance on coverage and reimbursement for HCPCS code C1754.

8. Examples

Here are five examples of when HCPCS code C1754 should be billed:

1. A patient undergoes a minimally invasive procedure to deliver medication directly into the intervertebral disc using an intradiscal catheter.
2. An interventional pain specialist performs a therapeutic procedure to alleviate pain in a specific disc space using an intradiscal catheter.
3. A patient with a herniated disc receives a targeted injection of medication through an intradiscal catheter to reduce inflammation and relieve symptoms.
4. A spine surgeon utilizes an intradiscal catheter during a surgical procedure to deliver a biologic agent directly into the disc space to promote healing.
5. A patient with degenerative disc disease undergoes a radiofrequency ablation procedure using an intradiscal catheter to provide long-lasting pain relief.