How To Use HCPCS Code C1883

HCPCS code C1883 describes an adapter/extension used for pacing lead or neurostimulator lead implantation. This code is used to identify a specific medical device that is utilized in the field of cardiology or neurology. In this article, we will explore the details of HCPCS code C1883, 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 C1883?

HCPCS code C1883 is an alphanumeric code that is part of the Healthcare Common Procedure Coding System (HCPCS). It is used to identify an adapter/extension device that is used in the implantation of pacing leads or neurostimulator leads. This code specifically refers to a parenteral supply that is not otherwise classified. It falls under the HCPCS Coverage Code D, which indicates that special coverage instructions apply. The HCPCS Action Code for C1883 is N, indicating that there is no maintenance for this code. The code was added to the HCPCS on January 01, 1985, and its action effective date is January 01, 1996. The HCPCS Pricing Indicator Code for C1883 is 57, which signifies that it is priced by other carriers. The Multiple Pricing Indicator Code for this code is A, indicating that it is not applicable as HCPCS priced under one methodology. The HCPCS Medicare Carriers Manual Reference Section Number for C1883 is 2130, 4450. The Type of Service Code for this code is E, which stands for enteral/parenteral nutrients/supplies, effective from April 1995. The Anesthesia Base Unit Quantity for C1883 is 0.

2. Official Description

The official description of HCPCS code C1883 is “Adapter/extension, pacing lead or neurostimulator lead (implantable)”. The short description for this code is “Parenteral supp not othrws c”. This description accurately represents the purpose and function of the medical device associated with this code.

3. Procedure

1. The procedure for utilizing HCPCS code C1883 involves the implantation of a pacing lead or neurostimulator lead.
2. The adapter/extension device, represented by C1883, is used to connect the pacing lead or neurostimulator lead to the appropriate implantable device.
3. The healthcare provider will carefully insert the pacing lead or neurostimulator lead into the designated area, ensuring proper placement and connection.
4. The adapter/extension device is then attached to the lead, allowing for the transmission of electrical signals between the lead and the implantable device.
5. Throughout the procedure, the healthcare provider must adhere to strict sterile techniques to minimize the risk of infection or complications.

4. When to use HCPCS code C1883

HCPCS code C1883 should be used when a healthcare provider is performing a procedure that involves the implantation of a pacing lead or neurostimulator lead, and an adapter/extension device is utilized. This code specifically applies to parenteral supplies that are not otherwise classified. It is important to review the specific guidelines and coverage instructions provided by payers to ensure proper usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1883, healthcare providers must ensure that the necessary documentation is in place to support the use of this code. This may include operative reports, procedure notes, and any other relevant documentation that demonstrates the medical necessity and appropriateness of the adapter/extension device. It is crucial to follow the billing guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1883 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an action effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition. It is important to note the historical context of the code and any significant changes that may have occurred over time.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code C1883 may vary depending on the specific payer and the patient’s individual policy. It is essential to consult the Medicare Carriers Manual and the payer’s guidelines to determine the coverage and reimbursement details for this code. The pricing indicator code 57 indicates that other carriers price this code. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. Providers should verify the coverage and reimbursement policies with the respective payers to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1883 should be billed:

1. A patient with a cardiac condition requires the implantation of a pacing lead. The healthcare provider utilizes an adapter/extension device (C1883) to connect the lead to the implantable device.
2. A neurology patient undergoes a neurostimulator lead implantation procedure. The healthcare provider uses an adapter/extension device (C1883) to ensure proper connection between the lead and the implantable device.
3. A patient with a history of heart rhythm abnormalities requires the implantation of a pacing lead. The healthcare provider utilizes an adapter/extension device (C1883) to facilitate the connection between the lead and the implantable device.
4. A neurostimulation therapy is recommended for a patient with chronic pain. During the procedure, the healthcare provider uses an adapter/extension device (C1883) to connect the neurostimulator lead to the implantable device.
5. A patient with a cardiac condition undergoes a lead revision procedure. The healthcare provider utilizes an adapter/extension device (C1883) to connect the revised lead to the existing implantable device.