How To Use HCPCS Code C1820

HCPCS code C1820 describes a generator for a neurostimulator that is implantable and comes with a rechargeable battery and charging system. This code is used to identify the specific device used in neurostimulation procedures. In this article, we will explore the details of HCPCS code C1820, 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 C1820?

HCPCS code C1820 is used to identify a generator for a neurostimulator that is implantable and includes a rechargeable battery and charging system. This code is specific to the device used in neurostimulation procedures and is essential for accurate billing and reimbursement purposes.

2. Official Description

The official description of HCPCS code C1820 is “Generator, neurostimulator (implantable), with rechargeable battery and charging system.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The neurostimulator generator, described by HCPCS code C1820, is surgically implanted in the patient’s body.
2. The generator is typically placed near the area requiring stimulation, such as the spinal cord or peripheral nerves.
3. Once implanted, the generator delivers electrical impulses to the targeted nerves, providing pain relief or other therapeutic benefits.
4. The rechargeable battery within the generator powers the device and can be recharged using the included charging system.
5. The neurostimulator generator can be programmed and adjusted by healthcare professionals to meet the specific needs of the patient.

4. When to use HCPCS code C1820

HCPCS code C1820 should be used when billing for the implantation of a neurostimulator generator with a rechargeable battery and charging system. This code is specific to the device used in neurostimulation procedures and should only be used when this particular generator is utilized.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1820, healthcare providers should ensure that the following documentation is included:

• Medical records indicating the medical necessity for the neurostimulator implantation procedure.
• Documentation supporting the use of a generator with a rechargeable battery and charging system.
• Details of the surgical procedure, including the specific location of the generator implantation.
• Any additional services or supplies provided in conjunction with the neurostimulator implantation.

6. Historical Information and Code Maintenance

HCPCS code C1820 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.

7. Medicare and Insurance Coverage

HCPCS code C1820 is eligible for coverage under Medicare. 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. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on billing and reimbursement for HCPCS code C1820.

8. Examples

Here are five examples of scenarios where HCPCS code C1820 should be billed:

1. A patient with chronic back pain undergoes a neurostimulation procedure, and a generator with a rechargeable battery and charging system is implanted to provide pain relief.
2. An individual with peripheral neuropathy receives a neurostimulator implantation, and the generator used includes a rechargeable battery and charging system.
3. A patient with failed back surgery syndrome undergoes a neurostimulation procedure, and a generator with a rechargeable battery and charging system is implanted to manage their pain.
4. An individual with complex regional pain syndrome undergoes a neurostimulator implantation, and the generator used includes a rechargeable battery and charging system.
5. A patient with refractory angina receives a neurostimulation procedure, and a generator with a rechargeable battery and charging system is implanted to improve their symptoms.