How To Use HCPCS Code C1755

HCPCS code C1755 describes a specific medical device known as an intraspinal catheter. This code is used to identify and bill for the insertion and use of this catheter in medical procedures. In this article, we will explore the details of HCPCS code C1755, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1755?

HCPCS code C1755 is a unique identifier for the intraspinal catheter. This catheter is a medical device that is inserted into the spinal canal for various purposes, such as delivering medications or fluids directly to the spinal cord or removing cerebrospinal fluid. It is important to note that this code specifically refers to the catheter itself and does not include any associated services or procedures.

2. Official Description

The official description of HCPCS code C1755 is “Catheter, intraspinal.” This concise description accurately represents the purpose and nature of the medical device. The short description for this code is “Parenteral supp not othrws c,” which further clarifies that it is used for parenteral support and not for any other purposes.

3. Procedure

1. The procedure for using the intraspinal catheter (HCPCS code C1755) involves several steps:
2. Prepare the patient for the procedure by ensuring proper positioning and sterilization of the insertion site.
3. Administer local anesthesia to numb the area where the catheter will be inserted.
4. Make a small incision in the skin and create a pathway to the spinal canal.
5. Insert the catheter into the spinal canal using a specialized technique.
6. Secure the catheter in place and ensure proper positioning.
7. Connect the catheter to the appropriate delivery system or collection device, depending on the intended use.
8. Monitor the patient during and after the procedure for any complications or adverse reactions.

4. When to use HCPCS code C1755

HCPCS code C1755 should be used when billing for the insertion and use of an intraspinal catheter. This code is typically used in medical procedures where parenteral support is required, such as the delivery of medications or fluids directly into the spinal canal. It is important to review the specific guidelines and coverage instructions provided by Medicare or other insurance providers to ensure proper usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1755, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include detailed medical records, physician orders, and any relevant diagnostic test results. Additionally, proper coding and sequencing of the procedure should be followed to ensure accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1755 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 note that this code has an effective date of January 01, 1996, which signifies when it became active for billing purposes.

7. Medicare and Insurance Coverage

HCPCS code C1755 is subject to specific coverage instructions, as indicated by the coverage code D. This means that special coverage instructions apply to this code, and healthcare providers should review the guidelines provided by Medicare or other insurance providers to determine the coverage criteria and reimbursement rates. The pricing indicator code for this code is 57, which signifies 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.

8. Examples

Here are five examples of scenarios where HCPCS code C1755 may be billed:

1. A patient with chronic pain requires the insertion of an intraspinal catheter for the delivery of pain medication directly to the spinal cord.
2. A patient with a spinal infection requires the insertion of an intraspinal catheter for the administration of antibiotics.
3. A patient with a cerebrospinal fluid leak requires the insertion of an intraspinal catheter for the drainage and collection of cerebrospinal fluid.
4. A patient undergoing spinal surgery requires the insertion of an intraspinal catheter for the delivery of anesthesia or analgesia during the procedure.
5. A patient with a spinal tumor requires the insertion of an intraspinal catheter for the delivery of chemotherapy drugs directly to the tumor site.