How To Use HCPCS Code C1763

HCPCS code C1763 describes a specific type of connective tissue that is non-human, including synthetic materials. This code is used to identify parenteral supplies that are not otherwise classified. In this article, we will explore the details of HCPCS code C1763, 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 C1763?

HCPCS code C1763 is used to identify connective tissue that is non-human, including synthetic materials. This code is specifically used for parenteral supplies that do not fall under any other classification. It is important to note that this code is not applicable for human connective tissue or other types of supplies. It is used to accurately identify and bill for non-human connective tissue supplies.

2. Official Description

The official description of HCPCS code C1763 is “Connective tissue, non-human (includes synthetic)”. The short description for this code is “Parenteral supp not othrws c”. This description accurately defines the nature of the supplies covered by this code.

3. Procedure

1. When using HCPCS code C1763, the healthcare provider should ensure that the connective tissue being supplied is non-human and includes synthetic materials.
2. The provider should follow the appropriate guidelines and regulations for handling and administering parenteral supplies.
3. The connective tissue should be properly stored and handled to maintain its integrity and safety.
4. When administering the connective tissue, the provider should follow the necessary protocols and ensure the patient’s safety and comfort.
5. Documentation should be maintained to support the use of HCPCS code C1763, including the type and quantity of connective tissue supplied.

4. When to use HCPCS code C1763

HCPCS code C1763 should be used when providing non-human connective tissue supplies, including synthetic materials. It is important to ensure that the supplies being billed fall under this specific category. This code should not be used for human connective tissue or other types of supplies. It is crucial to accurately identify and code the supplies to ensure proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1763, healthcare providers should ensure that the necessary documentation is in place to support the use of this code. This may include documentation of the type and quantity of connective tissue supplied, as well as any relevant medical records or orders. It is important to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1763 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code C1763 is covered by Medicare and other insurance carriers. 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, which means it is not applicable as HCPCS priced under one methodology. It is important to verify coverage and reimbursement policies with the specific payer to ensure proper billing and reimbursement.

8. Examples

Here are some examples of when HCPCS code C1763 should be billed:

1. A veterinarian supplies non-human connective tissue for a surgical procedure on an animal patient.
2. A research facility purchases synthetic connective tissue for experimental purposes.
3. A medical supply company provides non-human connective tissue to a healthcare facility for use in wound care.
4. A dental clinic uses synthetic connective tissue for a dental implant procedure.
5. A pharmaceutical company manufactures and supplies non-human connective tissue for clinical trials.