How To Use HCPCS Code C1830

HCPCS code C1830 describes a powered bone marrow biopsy needle. This code is used to identify a specific medical device that is used for bone marrow biopsies. In this article, we will explore the details of HCPCS code C1830, 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 C1830?

HCPCS code C1830 is a specific code that is used to identify a powered bone marrow biopsy needle. This code is used in medical coding to accurately document and bill for the use of this particular medical device. It is important for medical coders to correctly assign this code to ensure accurate reimbursement and tracking of bone marrow biopsy procedures.

2. Official Description

The official description of HCPCS code C1830 is “Powered bone marrow biopsy needle.” This description clearly indicates that this code is specifically used for a powered device that is designed for bone marrow biopsy procedures. The short description of this code is “Parenteral supp not othrws c,” which provides additional information about the nature of the device.

3. Procedure

1. The provider prepares the patient for the bone marrow biopsy procedure.
2. The powered bone marrow biopsy needle, identified by HCPCS code C1830, is selected for use.
3. The provider locates the appropriate site for the biopsy, typically the posterior iliac crest.
4. The provider applies local anesthesia to numb the area.
5. The powered bone marrow biopsy needle is inserted into the bone marrow, using a rotating or vibrating motion to collect a sample.
6. The provider carefully removes the needle and applies pressure to the site to control bleeding.
7. The collected bone marrow sample is sent to the laboratory for analysis.

4. When to use HCPCS code C1830

HCPCS code C1830 should be used when a powered bone marrow biopsy needle is utilized during a bone marrow biopsy procedure. This code is specific to the use of this particular device and should not be used for other types of bone marrow biopsy needles or procedures. It is important to accurately document the use of this device to ensure proper reimbursement and tracking of bone marrow biopsy procedures.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code C1830, healthcare providers should ensure that the following documentation is included:

• Medical record documentation supporting the medical necessity of the bone marrow biopsy procedure
• Documentation indicating the use of a powered bone marrow biopsy needle
• Date and time of the procedure
• Any complications or additional procedures performed

Providers should follow the billing guidelines set forth by the relevant insurance carriers and ensure that all necessary information is included on the claim form to facilitate accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1830 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 C1830 is eligible for coverage 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130, 4450 for additional guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of when HCPCS code C1830 should be billed:

1. A patient undergoes a bone marrow biopsy procedure using a powered bone marrow biopsy needle.
2. A physician performs a bone marrow biopsy on a patient with suspected leukemia, utilizing a powered bone marrow biopsy needle.
3. A hematologist uses a powered bone marrow biopsy needle to collect a bone marrow sample for diagnostic purposes.
4. A patient with a suspected bone marrow disorder undergoes a bone marrow biopsy procedure with the assistance of a powered bone marrow biopsy needle.
5. A bone marrow transplant team utilizes a powered bone marrow biopsy needle to collect a sample for compatibility testing.