How To Use HCPCS Code C1771

HCPCS code C1771 describes a repair device used for urinary incontinence, specifically with a sling graft. This code is used to identify the procedure and supplies necessary for repairing urinary incontinence using a sling graft. In this article, we will explore the details of HCPCS code C1771, 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 C1771?

HCPCS code C1771 is used to identify a repair device for urinary incontinence with a sling graft. This code specifically refers to the supplies and procedure required for repairing urinary incontinence using a sling graft. It is important to note that this code is specific to urinary incontinence repair and should not be used for other procedures or supplies.

2. Official Description

The official description of HCPCS code C1771 is “Repair device, urinary, incontinence, with sling graft.” This description accurately reflects the purpose and use of this code. The short description for this code is “Parenteral supp not othrws c,” which provides additional information about the type of supplies involved in the procedure.

3. Procedure

1. The procedure for HCPCS code C1771 involves repairing urinary incontinence using a sling graft. The provider will first assess the patient’s condition and determine the need for this procedure.
2. The provider will then prepare the patient for the procedure, which may involve anesthesia or sedation.
3. Next, the provider will make an incision in the appropriate area to access the urinary system.
4. A sling graft, which is a supportive material, will be inserted and positioned to provide support to the urinary system and address the incontinence issue.
5. The provider will then close the incision and ensure proper placement of the sling graft.
6. Post-procedure care and follow-up may be necessary to monitor the patient’s recovery and assess the effectiveness of the procedure.

4. When to use HCPCS code C1771

HCPCS code C1771 should be used when the provider is performing a repair procedure for urinary incontinence using a sling graft. This code is specific to this particular procedure and should not be used for other types of repairs or treatments.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1771, healthcare providers should ensure that the necessary documentation is in place to support the procedure. This may include medical records, operative reports, and any other relevant documentation that demonstrates the medical necessity of the procedure. Additionally, providers should follow the billing guidelines set forth by the payer, ensuring that all required information is included on the claim form.

6. Historical Information and Code Maintenance

HCPCS code C1771 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. It is important to note that this code has an effective date of January 01, 1996, and has remained unchanged since then.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code C1771 may vary. It is important for healthcare providers to verify coverage with the specific payer before performing the procedure. 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. Providers should consult the Medicare Carriers Manual Reference Section Number 2130 for additional guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1771 should be billed:

1. A patient presents with urinary incontinence and has exhausted conservative treatment options. The provider performs a repair procedure using a sling graft to address the incontinence issue.
2. A patient undergoes a previous repair procedure for urinary incontinence but experiences a recurrence of symptoms. The provider recommends a repair device with a sling graft to address the recurrence.
3. A patient with urinary incontinence undergoes a comprehensive evaluation, which confirms the need for a repair procedure using a sling graft. The provider performs the procedure to improve the patient’s quality of life.
4. A patient with urinary incontinence has a history of failed conservative treatments. The provider recommends a repair procedure using a sling graft as the next step in managing the condition.
5. A patient with urinary incontinence undergoes a repair procedure using a sling graft as part of a clinical trial or research study investigating the effectiveness of this treatment approach.