How To Use HCPCS Code C1880

HCPCS code C1880 describes the vena cava filter, which is used in medical procedures to prevent blood clots from traveling to the lungs. This code is specifically used for enteral supplies that are not otherwise classified. In this article, we will explore the details of HCPCS code C1880, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C1880?

HCPCS code C1880 is used to identify the vena cava filter, a medical device that is inserted into the vena cava to catch blood clots and prevent them from reaching the lungs. This code is specifically used for enteral supplies that are not otherwise classified. It is important to note that this code is not applicable for other types of enteral supplies or procedures.

2. Official Description

The official description of HCPCS code C1880 is “Vena cava filter.” The short description is “Enteral supp not otherwise c.”

3. Procedure

1. The vena cava filter procedure involves the insertion of a small, cone-shaped device into the vena cava, which is the large vein that carries deoxygenated blood from the lower body to the heart.
2. The procedure is typically performed under local anesthesia.
3. A small incision is made in the groin or neck area to access the vena cava.
4. A catheter is inserted into the vein and guided to the desired location within the vena cava.
5. The vena cava filter is then deployed, expanding to catch and trap blood clots.
6. Once the filter is in place, the catheter is removed, and the incision is closed.

4. When to use HCPCS code C1880

HCPCS code C1880 should be used when billing for the insertion of a vena cava filter. This code is specifically for enteral supplies that are not otherwise classified. It is important to ensure that the procedure meets the criteria for using this code and that the vena cava filter is the appropriate treatment option for the patient.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1880, healthcare providers need to document the medical necessity of the vena cava filter insertion. This includes providing a detailed description of the patient’s condition, the rationale for using a vena cava filter, and any supporting diagnostic test results. Additionally, providers should ensure that all relevant documentation, such as operative reports and imaging studies, is included with the claim submission.

6. Historical Information and Code Maintenance

HCPCS code C1880 was added to the Healthcare Common Procedure Coding System on January 01, 1985. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. The code has an effective date of January 01, 1996. It is important for medical coders to stay updated on any changes or revisions to the code to ensure accurate billing and coding practices.

7. Medicare and Insurance Coverage

HCPCS code C1880 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. It is important for healthcare providers to verify coverage and reimbursement policies with Medicare and other insurance carriers to ensure proper billing and reimbursement for the vena cava filter procedure.

8. Examples

Here are five examples of when HCPCS code C1880 should be billed:

1. A patient with a history of deep vein thrombosis (DVT) requires the insertion of a vena cava filter to prevent pulmonary embolism.
2. A trauma patient who has sustained multiple fractures and is at high risk for blood clots undergoes a vena cava filter insertion as a preventive measure.
3. A patient with a known clotting disorder is scheduled for major surgery and requires a vena cava filter to reduce the risk of postoperative complications.
4. A patient with a history of recurrent pulmonary embolism is recommended to have a vena cava filter inserted to prevent further episodes.
5. A patient undergoing chemotherapy for cancer develops a blood clot and requires a vena cava filter to prevent complications during treatment.