How To Use HCPCS Code C1757

HCPCS code C1757 describes a specific medical device known as a catheter used for thrombectomy or embolectomy procedures. This code is used to identify and bill for the parenteral supplies associated with these procedures. In this article, we will explore the details of HCPCS code C1757, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1757?

HCPCS code C1757 is used to identify a catheter specifically designed for thrombectomy or embolectomy procedures. Thrombectomy is the removal of a blood clot from a blood vessel, while embolectomy involves the removal of an embolus, which is a blood clot or foreign material that has traveled through the bloodstream and lodged in a blood vessel. This code is used to indicate the parenteral supplies associated with these procedures.

2. Official Description

The official description of HCPCS code C1757 is “Catheter, thrombectomy/embolectomy.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider begins by preparing the patient for the thrombectomy or embolectomy procedure.
2. Anesthesia is administered to ensure the patient’s comfort during the procedure.
3. A small incision is made at the site of the blood clot or embolus.
4. The catheter, identified by HCPCS code C1757, is inserted into the blood vessel.
5. The provider carefully navigates the catheter to the location of the clot or embolus.
6. Using specialized tools or techniques, the provider removes the clot or embolus through the catheter.
7. The catheter is then removed, and the incision site is closed and dressed.

4. When to use HCPCS code C1757

HCPCS code C1757 should be used when billing for the parenteral supplies associated with thrombectomy or embolectomy procedures. It is important to ensure that the procedure performed aligns with the official description of the code and meets any specific eligibility criteria or guidelines set by payers.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code C1757, healthcare providers should ensure proper documentation of the procedure performed, including the medical necessity for the thrombectomy or embolectomy. Additionally, providers should accurately document the use of the catheter identified by this code. Billing for the service or supply should follow the guidelines set by the payer, including any specific documentation requirements.

6. Historical Information and Code Maintenance

HCPCS code C1757 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C1757 may be covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that the code is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Providers should verify coverage and reimbursement rates with the respective payer to ensure accurate billing and reimbursement.

8. Examples

Here are five examples of scenarios where HCPCS code C1757 may be billed:

1. A patient undergoes a thrombectomy procedure using a catheter identified by HCPCS code C1757 to remove a blood clot from a major blood vessel.
2. A provider performs an embolectomy using a catheter identified by HCPCS code C1757 to remove an embolus from a pulmonary artery.
3. A patient with deep vein thrombosis undergoes a thrombectomy procedure using a catheter identified by HCPCS code C1757 to restore blood flow in the affected vein.
4. A provider performs an embolectomy using a catheter identified by HCPCS code C1757 to remove an embolus from a cerebral artery.
5. A patient with peripheral arterial disease undergoes a thrombectomy procedure using a catheter identified by HCPCS code C1757 to remove a blood clot from a lower extremity artery.