How To Use HCPCS Code C1762

HCPCS code C1762 describes the use of connective tissue, specifically human tissue that includes fascia lata. This code is used to identify enteral supplies that are not otherwise classified. In this article, we will explore the details of HCPCS code C1762, 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 C1762?

HCPCS code C1762 is used to identify connective tissue, specifically human tissue that includes fascia lata. It is categorized as an enteral supply that is not otherwise classified. This code is used to accurately document and bill for the use of this specific type of tissue in medical procedures.

2. Official Description

The official description of HCPCS code C1762 is “Connective tissue, human (includes fascia lata).” The short description for this code is “Enteral supp not otherwise c.” This description accurately identifies the type of tissue and its purpose in medical procedures.

3. Procedure

1. The provider obtains the connective tissue, specifically human tissue that includes fascia lata.
2. The tissue is prepared and sterilized according to medical standards.
3. During the procedure, the provider applies the connective tissue to the desired area.
4. The tissue is used to support or repair damaged or weakened connective tissue in the patient’s body.
5. Any necessary documentation and reporting are completed for accurate billing and medical records.

4. When to use HCPCS code C1762

HCPCS code C1762 should be used when connective tissue, specifically human tissue that includes fascia lata, is utilized in a medical procedure. This code is applicable when the tissue is used as an enteral supply that is not otherwise classified. It is important to review the specific guidelines and eligibility criteria for using this code to ensure accurate billing and documentation.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1762, healthcare providers need to document the use of connective tissue, specifically human tissue that includes fascia lata, in the medical procedure. This documentation should include details such as the purpose of the tissue, the specific procedure it was used in, and any relevant patient information. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1762 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

Medicare and insurance coverage for HCPCS code C1762 may vary. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, meaning it is not applicable as HCPCS priced under one methodology. It is important to check with Medicare and other insurance providers to determine their specific coverage policies for this code.

8. Examples

Here are five examples of when HCPCS code C1762 should be billed:

1. A patient undergoes a reconstructive surgery where connective tissue, specifically human tissue that includes fascia lata, is used to repair a damaged ligament.
2. A patient with a hernia receives a surgical procedure where connective tissue, specifically human tissue that includes fascia lata, is used to reinforce the weakened abdominal wall.
3. A patient undergoes a breast reconstruction surgery where connective tissue, specifically human tissue that includes fascia lata, is used to create a natural-looking breast mound.
4. A patient with a chronic wound receives a procedure where connective tissue, specifically human tissue that includes fascia lata, is used to promote healing and tissue regeneration.
5. A patient with a joint injury undergoes a procedure where connective tissue, specifically human tissue that includes fascia lata, is used to stabilize and support the affected joint.