How To Use HCPCS Code C1878

HCPCS code C1878 describes a material used for vocal cord medialization. This synthetic implantable material is utilized to treat vocal cord paralysis or weakness, allowing for improved vocal cord function and voice quality. In this article, we will explore the details of HCPCS code C1878, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1878?

HCPCS code C1878 is specifically assigned to the material used for vocal cord medialization. It is a synthetic implantable substance that is inserted into the vocal cords to improve their function and restore voice quality. This code is essential for accurately identifying and billing for the use of this specific material in medical procedures.

2. Official Description

The official description of HCPCS code C1878 is “Material for vocal cord medialization, synthetic (implantable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions provide a concise summary of the purpose and nature of the material associated with this HCPCS code.

3. Procedure

1. The procedure for utilizing the material associated with HCPCS code C1878 involves several steps:
2. The patient is prepared for the procedure, which may include local or general anesthesia.
3. An incision is made in the neck to access the vocal cords.
4. The synthetic implantable material is carefully inserted into the vocal cords.
5. The incision is closed, and the patient is monitored for any complications or adverse reactions.

It is important for healthcare providers to follow the appropriate guidelines and techniques when performing this procedure to ensure optimal outcomes for the patient.

4. When to use HCPCS code C1878

HCPCS code C1878 should be used when the synthetic implantable material is utilized for vocal cord medialization procedures. This code is applicable for patients with vocal cord paralysis or weakness who require intervention to improve their voice quality and vocal cord function. It is important to note that the use of this code is subject to specific coverage instructions, denoted by the coverage code D.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1878, healthcare providers need to ensure accurate documentation of the procedure and the use of the synthetic implantable material. This includes detailed information on the patient’s condition, the necessity of the procedure, and the specific materials used. Proper documentation is crucial for reimbursement and compliance purposes.

6. Historical Information and Code Maintenance

HCPCS code C1878 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. It is important for medical coders and billers to stay updated on any changes or revisions related to this code.

7. Medicare and Insurance Coverage

HCPCS code C1878 is subject to specific coverage instructions, denoted by the coverage code D. This indicates that special coverage instructions apply, and healthcare providers need to ensure compliance with these instructions when billing for services or supplies associated with this code. The pricing indicator code for HCPCS code C1878 is 57, which signifies that it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of scenarios where HCPCS code C1878 should be billed:

1. A 45-year-old patient with vocal cord paralysis undergoes vocal cord medialization using the synthetic implantable material associated with HCPCS code C1878.
2. A 60-year-old individual with vocal cord weakness receives vocal cord medialization surgery, during which the synthetic implantable material described by HCPCS code C1878 is utilized.
3. A 35-year-old professional singer undergoes vocal cord medialization to improve vocal cord function and voice quality. The procedure involves the use of the synthetic implantable material associated with HCPCS code C1878.
4. A 50-year-old patient with a history of vocal cord injury undergoes vocal cord medialization using the synthetic implantable material described by HCPCS code C1878.
5. An 18-year-old individual with congenital vocal cord paralysis receives vocal cord medialization surgery, during which the synthetic implantable material associated with HCPCS code C1878 is utilized.