How To Use HCPCS Code C1767

HCPCS code C1767 describes a non-rechargeable neurostimulator generator that is used for implantation. This code is specifically used to identify the parenteral supplies that are not otherwise classified. It falls under the HCPCS Coverage Code D, which means that special coverage instructions apply. The HCPCS Action Code N indicates that there is no maintenance required for this code. The code was added to the Healthcare Common Procedure Coding System on January 01, 1985, and its action effective date is January 01, 1996. The pricing indicator code for C1767 is 57, which means it is priced by other carriers. It does not have a multiple pricing indicator code, as it is not applicable under one pricing methodology. The HCPCS Medicare Carriers Manual Reference Section Number for this code is 2130. The type of service code for C1767 is E, which stands for enteral/parenteral nutrients/supplies, effective from April 1995. The anesthesia base unit quantity for this code is 0.

1. What is HCPCS C1767?

HCPCS code C1767 is used to identify a non-rechargeable neurostimulator generator that is implanted in a patient. This code is specifically used to classify parenteral supplies that are not otherwise categorized. It is important to use this code accurately to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code C1767 is “Generator, neurostimulator (implantable), non-rechargeable.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. Before performing the procedure, ensure that the patient meets the eligibility criteria for implantation of a non-rechargeable neurostimulator generator.
2. Prepare the patient for the procedure by providing necessary pre-operative instructions and obtaining informed consent.
3. Anesthetize the patient using the appropriate anesthesia method.
4. Create an incision at the designated implantation site.
5. Insert the non-rechargeable neurostimulator generator into the designated location.
6. Secure the generator in place and close the incision.
7. Provide post-operative care instructions to the patient.

4. When to use HCPCS code C1767

HCPCS code C1767 should be used when billing for the implantation of a non-rechargeable neurostimulator generator. This code is applicable when the parenteral supplies used in the procedure are not otherwise classified. It is important to review the specific guidelines and coverage instructions to ensure accurate usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1767, healthcare providers need to document the details of the procedure, including the medical necessity for the implantation of a non-rechargeable neurostimulator generator. The documentation should include the patient’s medical history, the rationale for choosing a non-rechargeable generator, and any other relevant information. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1767 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an action effective date of January 01, 1996, indicating that no maintenance actions have been taken for this code. The code remains unchanged since its addition and continues to be used for billing purposes.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code C1767 may vary depending on the specific circumstances and guidelines set by Medicare. It is important to review the Medicare Carriers Manual Reference Section Number 2130 for detailed information on coverage and reimbursement. The pricing indicator code 57 indicates that the service or supply is priced by other carriers. The multiple pricing indicator code for C1767 is not applicable, as it is not priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C1767 should be billed:

1. A patient with chronic pain undergoes implantation of a non-rechargeable neurostimulator generator to manage their symptoms.
2. An individual with a neurological condition requires the implantation of a non-rechargeable neurostimulator generator for therapeutic purposes.
3. A patient with a spinal cord injury receives an implantation of a non-rechargeable neurostimulator generator to improve their motor function.
4. An individual with a history of failed conservative treatments undergoes the implantation of a non-rechargeable neurostimulator generator as a last resort for pain management.
5. A patient with a specific medical condition that is responsive to neurostimulation therapy receives the implantation of a non-rechargeable neurostimulator generator.