How To Use HCPCS Code C1759

HCPCS code C1759 describes a specific medical device known as an intracardiac echocardiography catheter. This code is used to identify and bill for the use of this catheter during medical procedures. In this article, we will explore the details of HCPCS code C1759, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C1759?

HCPCS code C1759 is used to identify a catheter called an intracardiac echocardiography catheter. This catheter is used during medical procedures to provide imaging of the heart from within the heart chambers. It allows healthcare providers to visualize the heart’s structures and assess its function. The use of this catheter is essential in diagnosing and treating various cardiac conditions.

2. Official Description

The official description of HCPCS code C1759 is “Catheter, intracardiac echocardiography.” The short description is “Parenteral supp not othrws c.” This description accurately represents the purpose and use of this specific catheter.

3. Procedure

1. Before the procedure, the patient is typically prepared by cleaning and sterilizing the area where the catheter will be inserted.
2. The healthcare provider will then numb the area with a local anesthetic to minimize any discomfort.
3. Using imaging guidance, such as fluoroscopy or ultrasound, the provider will carefully insert the intracardiac echocardiography catheter into a blood vessel, usually in the groin or neck.
4. The catheter is then advanced through the blood vessels until it reaches the heart.
5. Once in position, the catheter’s imaging capabilities are utilized to obtain detailed images of the heart’s structures and function.
6. The provider may manipulate the catheter within the heart chambers to obtain different views and gather additional information.
7. After the procedure, the catheter is carefully removed, and pressure is applied to the insertion site to prevent bleeding.

4. When to use HCPCS code C1759

HCPCS code C1759 should be used when an intracardiac echocardiography catheter is utilized during a medical procedure. This code is specific to this particular catheter and should not be used for other types of catheters or procedures. It is important to ensure that the use of this catheter is documented accurately in the medical record to support the billing of HCPCS code C1759.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1759, healthcare providers need to ensure that the medical documentation supports the medical necessity and appropriate use of the intracardiac echocardiography catheter. The documentation should include details such as the reason for the procedure, the specific findings or images obtained using the catheter, and any relevant clinical indications. It is crucial to follow the billing guidelines set forth by Medicare and other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1759 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then, with no significant maintenance actions taken. The code’s action code N indicates that there is no maintenance required for this code. It is essential to stay updated with any changes or revisions to the code, as provided by official coding authorities.

7. Medicare and Insurance Coverage

Medicare and other insurance carriers may provide coverage for the use of HCPCS code C1759. 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. It is crucial to verify coverage and reimbursement policies with the specific insurance carrier to ensure proper billing and reimbursement.

8. Examples

Here are five examples of scenarios where HCPCS code C1759 would be appropriate:

1. A patient undergoes a cardiac ablation procedure, and an intracardiac echocardiography catheter is used to guide the placement of the ablation catheter.
2. A patient with a suspected cardiac mass undergoes a biopsy procedure, and an intracardiac echocardiography catheter is used to visualize the mass and guide the biopsy needle.
3. A patient with a congenital heart defect undergoes a transcatheter closure procedure, and an intracardiac echocardiography catheter is used to assess the defect’s size and guide the placement of the closure device.
4. A patient with a history of arrhythmias undergoes an electrophysiology study, and an intracardiac echocardiography catheter is used to map the electrical activity within the heart.
5. A patient with heart failure undergoes a cardiac resynchronization therapy procedure, and an intracardiac echocardiography catheter is used to optimize the placement of the pacing leads.