How To Use HCPCS Code C1764

HCPCS code C1764 describes the event recorder, cardiac (implantable). This code is used to identify a specific type of cardiac device that is implanted in a patient to monitor and record their heart’s electrical activity. In this article, we will explore the details of HCPCS code C1764, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C1764?

HCPCS code C1764 is used to identify the event recorder, cardiac (implantable). This device is implanted in a patient’s body to continuously monitor and record their heart’s electrical activity. It is typically used for patients who have experienced symptoms such as palpitations, dizziness, or fainting, but have not been diagnosed with a specific cardiac condition. The event recorder helps healthcare providers gather data on the patient’s heart rhythm and identify any irregularities or abnormalities.

2. Official Description

The official description of HCPCS code C1764 is “Event recorder, cardiac (implantable).” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and nature of the device.

3. Procedure

1. The procedure for implanting the event recorder, cardiac (implantable) involves several steps:
2. The patient is prepared for the procedure, which may include cleaning and sterilizing the implantation site.
3. An incision is made in the patient’s chest to create a pocket for the device.
4. The event recorder is carefully placed in the pocket and secured.
5. The incision is closed using sutures or surgical staples.
6. Post-procedure, the patient is monitored for any complications or adverse reactions.

It is important for healthcare providers to follow proper surgical techniques and adhere to infection control protocols during the implantation procedure.

4. When to use HCPCS code C1764

HCPCS code C1764 should be used when a healthcare provider implants an event recorder, cardiac (implantable) in a patient. This code is specific to this particular device and should not be used for other types of cardiac recorders or monitoring devices. It is important to ensure that the patient meets the necessary criteria for receiving this implantable device, such as experiencing symptoms that warrant continuous cardiac monitoring.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1764, healthcare providers need to document the medical necessity for implanting the event recorder, cardiac (implantable). This may include the patient’s symptoms, diagnostic tests performed, and any previous treatments attempted. Additionally, providers should include the date of the procedure, the specific device used, and any relevant supporting documentation.

6. Historical Information and Code Maintenance

HCPCS code C1764 was added to the Healthcare Common Procedure Coding System on January 01, 1985. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This suggests that the code has remained unchanged since its inception.

7. Medicare and Insurance Coverage

HCPCS code C1764 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Healthcare providers should verify coverage and reimbursement rates with the respective payers to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1764 should be billed:

1. A 65-year-old patient with a history of unexplained fainting episodes undergoes the implantation of an event recorder, cardiac (implantable) to monitor their heart’s electrical activity.
2. A 50-year-old patient presents with recurrent palpitations and dizziness. After diagnostic tests, it is determined that an event recorder, cardiac (implantable) is necessary to capture any abnormal heart rhythms.
3. A 40-year-old patient with a family history of sudden cardiac death undergoes the implantation of an event recorder, cardiac (implantable) as a precautionary measure.
4. A 55-year-old patient with a history of atrial fibrillation receives an event recorder, cardiac (implantable) to monitor their heart’s rhythm and assess the effectiveness of their current treatment plan.
5. A 70-year-old patient with unexplained chest pain and shortness of breath undergoes the implantation of an event recorder, cardiac (implantable) to capture any cardiac abnormalities during symptomatic episodes.