How To Use HCPCS Code C1758

HCPCS code C1758 describes a ureteral catheter used for enteral support that is not otherwise classified. This code is used to identify and bill for this specific medical supply. In this article, we will explore the details of HCPCS code C1758, 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 C1758?

HCPCS code C1758 is used to identify a ureteral catheter that is utilized for enteral support. This code is specifically for catheters that are not otherwise classified under a different code. It is important to use this code accurately to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code C1758 is “Catheter, ureteral.” The short description is “Enteral supp not otherwise c.” This description accurately represents the purpose and use of this specific catheter.

3. Procedure

1. Prepare the patient for the catheter insertion procedure.
2. Ensure proper sterilization of the catheter and necessary equipment.
3. Locate the ureteral opening and carefully insert the catheter.
4. Advance the catheter to the desired position within the ureter.
5. Secure the catheter in place to prevent dislodgement.
6. Monitor the patient for any complications or adverse reactions.

4. When to use HCPCS code C1758

HCPCS code C1758 should be used when a healthcare provider utilizes a ureteral catheter for enteral support. This code is specifically for catheters that are not otherwise classified under a different code. It is important to review the specific guidelines and eligibility criteria for using this code to ensure accurate billing.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1758, healthcare providers need to document the medical necessity of using a ureteral catheter for enteral support. This documentation should include the patient’s medical condition, the reason for using the catheter, and any relevant supporting information. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1758 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 is important to stay updated with any changes or revisions to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code C1758 is covered by Medicare and other insurance providers. The pricing indicator code 57 indicates that this code is priced by other carriers. The multiple pricing indicator code A means that it is not applicable as HCPCS priced under one methodology. It is important to verify coverage and pricing with the specific insurance provider to ensure accurate billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1758 should be billed:

1. A patient with a medical condition requiring enteral support receives a ureteral catheter for nutritional supplementation.
2. A healthcare provider utilizes a ureteral catheter for enteral support during a surgical procedure.
3. A patient with a chronic illness requires long-term enteral support and receives a ureteral catheter for this purpose.
4. A healthcare provider uses a ureteral catheter for enteral support in a patient with a gastrointestinal disorder.
5. A patient with a medical condition that affects their ability to consume food orally receives a ureteral catheter for enteral support.