How To Use HCPCS Code C1783

HCPCS code C1783 describes an ocular implant, specifically an aqueous drainage assist device. This code is used to identify a medical device that is implanted in the eye to assist with the drainage of aqueous humor, the fluid that fills the front part of the eye. In this article, we will explore the details of HCPCS code C1783, 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 C1783?

HCPCS code C1783 is used to identify an ocular implant, specifically an aqueous drainage assist device. This device is designed to help with the drainage of aqueous humor in the eye. It is typically used in the treatment of conditions such as glaucoma, where there is an increased pressure in the eye due to a buildup of fluid. The device is implanted in the eye and helps to regulate the flow of fluid, reducing intraocular pressure and preventing damage to the optic nerve.

2. Official Description

The official description of HCPCS code C1783 is “Ocular implant, aqueous drainage assist device.” This description accurately reflects the purpose and function of the device. The short description for this code is “Parenteral supp not othrws c,” which indicates that this code is used for a parenteral supply that does not fall under any other category.

3. Procedure

1. The procedure for implanting the aqueous drainage assist device involves several steps:
2. The patient is prepared for the procedure, which may involve the administration of local anesthesia.
3. An incision is made in the eye to create a small opening.
4. The aqueous drainage assist device is carefully inserted into the eye through the incision.
5. The device is positioned in the appropriate location to facilitate the drainage of aqueous humor.
6. The incision is closed, and the patient is monitored for any post-operative complications.

4. When to use HCPCS code C1783

HCPCS code C1783 should be used when billing for the implantation of an aqueous drainage assist device. This code is specific to this particular device and should not be used for any other ocular implants or procedures. It is important to ensure that the patient meets the eligibility criteria for the use of this device and that the procedure is medically necessary.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1783, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include clinical notes, diagnostic test results, and any other relevant information. It is also important to follow the billing guidelines set forth by the payer, including any specific requirements for documentation or prior authorization.

6. Historical Information and Code Maintenance

HCPCS code C1783 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. 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 code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code C1783 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 that it is not applicable as HCPCS priced under one methodology. Medicare and other insurers may have specific coverage criteria and reimbursement rates for this code, so it is important to verify coverage and reimbursement guidelines with the respective payer.

8. Examples

Here are five examples of when HCPCS code C1783 should be billed:

1. A patient with glaucoma undergoes surgery to implant an aqueous drainage assist device to help regulate intraocular pressure.
2. A patient with a history of ocular hypertension undergoes a procedure to implant an aqueous drainage assist device as a preventive measure.
3. A patient with a congenital eye condition requires the implantation of an aqueous drainage assist device to manage fluid buildup in the eye.
4. A patient with secondary glaucoma due to a previous eye surgery undergoes a procedure to implant an aqueous drainage assist device.
5. A patient with advanced glaucoma undergoes a procedure to implant an aqueous drainage assist device as part of their treatment plan.