How To Use HCPCS Code C1881

HCPCS code C1881 describes a dialysis access system that is implantable. This code is used to identify the specific device used for providing parenteral support to patients. In this article, we will explore the details of HCPCS code C1881, 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 C1881?

HCPCS code C1881 is used to identify a dialysis access system that is implantable. This code specifically refers to the device used for providing parenteral support to patients. It is important to note that this code is not applicable for other types of parenteral supplies or services.

2. Official Description

The official description of HCPCS code C1881 is “Dialysis access system (implantable)”. The short description for this code is “Parenteral supp not othrws c”.

3. Procedure

1. The procedure for using HCPCS code C1881 involves the implantation of a dialysis access system. This system is designed to provide a means for delivering parenteral support to patients.
2. The provider will first assess the patient’s suitability for the implantation of the dialysis access system.
3. The provider will then perform the necessary surgical procedure to implant the system.
4. Post-implantation, the provider will ensure proper functioning of the system and monitor the patient’s response to the parenteral support.

4. When to use HCPCS code C1881

HCPCS code C1881 should be used when a dialysis access system that is implantable is utilized for providing parenteral support to a patient. It is important to ensure that the specific device being used meets the criteria outlined in the code description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1881, healthcare providers need to ensure that the following documentation requirements are met:

• Documentation of the medical necessity for using an implantable dialysis access system
• Documentation of the surgical procedure performed for implantation
• Documentation of the patient’s response to the parenteral support provided

Providers should also follow the appropriate billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1881 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code C1881 is covered by 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. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1881 should be billed:

1. A patient with end-stage renal disease requiring long-term dialysis receives an implantable dialysis access system for parenteral support.
2. A patient with a history of multiple failed dialysis access sites undergoes the implantation of a dialysis access system for improved parenteral support.
3. A patient with a chronic illness requiring regular parenteral nutrition receives an implantable dialysis access system for convenient administration of nutrients.
4. A patient with a compromised gastrointestinal system requires long-term parenteral support and receives an implantable dialysis access system.
5. A patient with a congenital anomaly affecting the digestive system undergoes the implantation of a dialysis access system for parenteral support.