How To Use HCPCS Code C1840

HCPCS code C1840 describes a specific type of intraocular lens known as a telescopic lens. This code is used to identify and bill for the insertion of this lens during a surgical procedure. In this article, we will explore the details of HCPCS code C1840, 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 C1840?

HCPCS code C1840 is used to identify a specific type of intraocular lens called a telescopic lens. This lens is designed to provide magnification and improve vision for individuals with certain eye conditions, such as macular degeneration or other retinal disorders. It is surgically implanted into the eye during a procedure performed by an ophthalmologist.

2. Official Description

The official description of HCPCS code C1840 is “Lens, intraocular (telescopic)”. The short description is “Parenteral supp not othrws c”. This description accurately represents the purpose and nature of the code.

3. Procedure

1. The procedure for HCPCS code C1840 involves the surgical insertion of the telescopic lens into the eye.
2. The patient is typically placed under anesthesia to ensure comfort and minimize pain during the procedure.
3. An incision is made in the eye to create a small opening for the lens to be inserted.
4. The telescopic lens is carefully placed into the eye and positioned appropriately.
5. The incision is then closed, and the patient is monitored for any post-operative complications.

4. When to use HCPCS code C1840

HCPCS code C1840 should be used when a healthcare provider performs a surgical procedure to insert a telescopic lens into the eye. This code is specifically for the insertion of this type of lens and should not be used for other intraocular lens procedures.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1840, healthcare providers should ensure that the necessary documentation is included to support the use of this code. This may include surgical notes, operative reports, and any other relevant documentation that demonstrates the medical necessity of the procedure.

6. Historical Information and Code Maintenance

HCPCS code C1840 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. This code has remained unchanged since its inception.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the cost of the surgical procedure and the telescopic lens when HCPCS code C1840 is used. The pricing indicator code 57 indicates that the pricing for this code is determined by other carriers. The multiple pricing indicator code A means that this code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C1840 should be billed:

1. A patient with advanced macular degeneration undergoes surgery to have a telescopic lens inserted into their eye to improve their vision.
2. An individual with a retinal disorder requires the insertion of a telescopic lens to enhance their visual acuity.
3. A patient with a history of eye trauma undergoes a procedure to have a telescopic lens implanted to restore their vision.
4. An elderly individual with age-related vision loss undergoes surgery to have a telescopic lens inserted to improve their quality of life.
5. A person with a congenital eye condition undergoes a procedure to have a telescopic lens implanted to correct their visual impairment.