How To Use HCPCS Code C1841

HCPCS code C1841 describes a retinal prosthesis, which includes all internal and external components. This code is used to identify a specific medical device that is used to restore vision in individuals with retinal degenerative diseases. In this article, we will explore the details of HCPCS code C1841, 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 C1841?

HCPCS code C1841 is a specific code that is used to identify a retinal prosthesis. This medical device is designed to replace the function of the retina in individuals with retinal degenerative diseases, such as retinitis pigmentosa. The retinal prosthesis includes both internal and external components that work together to stimulate the remaining healthy cells in the retina and provide visual perception.

2. Official Description

The official description of HCPCS code C1841 is “Retinal prosthesis, includes all internal and external components.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure for implanting a retinal prosthesis begins with a thorough evaluation of the patient’s eye health and visual function.
2. The surgeon will make an incision in the eye to access the retina.
3. The internal components of the retinal prosthesis, including the electrode array, are carefully implanted into the retina.
4. The external components, such as the camera and video processing unit, are connected to the internal components.
5. Once the retinal prosthesis is in place, the patient undergoes a period of rehabilitation and training to learn how to interpret the visual signals provided by the device.

4. When to use HCPCS code C1841

HCPCS code C1841 should be used when billing for the implantation of a retinal prosthesis. This code is specific to the device and should not be used for other procedures or supplies. It is important to ensure that the patient meets the eligibility criteria for receiving a retinal prosthesis and that the procedure is medically necessary for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1841, healthcare providers should ensure that the necessary documentation is included to support the medical necessity of the procedure. This may include the patient’s medical history, diagnostic test results, and any other relevant information. Additionally, providers should follow the billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1841 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 1996. As of December 31, 2022, this code has been terminated. The termination of a code means that it is no longer valid for billing purposes. It is important for healthcare providers to stay updated on code changes and use the most current codes for accurate billing.

7. Medicare and Insurance Coverage

HCPCS code C1841 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific coverage instructions and guidelines for billing this code.

8. Examples

Here are five examples of when HCPCS code C1841 should be billed:

1. A 65-year-old patient with retinitis pigmentosa undergoes retinal prosthesis implantation to restore their vision.
2. A 50-year-old patient with advanced retinal degeneration receives a retinal prosthesis as part of a clinical trial.
3. A 40-year-old patient with a history of retinal detachment undergoes retinal prosthesis implantation to improve their visual function.
4. A 30-year-old patient with congenital retinal disease receives a retinal prosthesis to enhance their quality of life.
5. A 55-year-old patient with diabetic retinopathy undergoes retinal prosthesis implantation to address their vision loss.