How To Use HCPCS Code C1889

HCPCS code C1889 describes an implantable or insertable device that is not otherwise classified. This code is used to identify a parenteral supply that does not fall under any other specific HCPCS code. In this article, we will explore the details of HCPCS code C1889, 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 C1889?

HCPCS code C1889 is used to identify an implantable or insertable device that does not have a specific code assigned to it. This code is used when there is no other appropriate code available to describe the device being used. It is important to note that HCPCS codes are used for billing and reporting purposes, and each code represents a specific medical supply or service.

2. Official Description

The official description of HCPCS code C1889 is “Implantable/insertable device, not otherwise classified.” This description indicates that this code is used to identify a device that is implanted or inserted into the body but does not have a specific code assigned to it.

3. Procedure

1. Step 1: Determine the need for an implantable or insertable device.
2. Step 2: Select the appropriate device based on the patient’s condition and medical requirements.
3. Step 3: Prepare the patient for the procedure, ensuring proper sterilization and anesthesia, if necessary.
4. Step 4: Perform the implantation or insertion of the device according to established medical guidelines and protocols.
5. Step 5: Monitor the patient post-procedure for any complications or adverse reactions.

4. When to use HCPCS code C1889

HCPCS code C1889 should be used when there is no other specific code available to describe the implantable or insertable device being used. It is important to thoroughly review the available HCPCS codes to ensure that there is not a more appropriate code for the device in question. If no other code accurately describes the device, then C1889 can be used.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1889, healthcare providers should ensure that the documentation clearly identifies the implantable or insertable device being used. The documentation should include details such as the manufacturer, model number, and any other relevant information that helps to accurately identify the device. Additionally, providers should follow the billing guidelines set forth by the payer, ensuring that all necessary information is included on the claim form.

6. Historical Information and Code Maintenance

HCPCS code C1889 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 to note that HCPCS codes are regularly reviewed and updated to ensure accuracy and relevance.

7. Medicare and Insurance Coverage

HCPCS code C1889 is eligible for coverage under Medicare and other insurance plans. 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. It is important for healthcare providers to verify coverage and reimbursement policies with the specific payer to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C1889 should be billed:

1. A patient requires an implantable device for the treatment of a chronic medical condition, and there is no specific code available for the device.
2. An insertable device is used during a surgical procedure, and there is no other appropriate code to describe the device.
3. A patient needs an implantable device for the management of pain, and there is no specific code for the device being used.
4. An insertable device is utilized for the delivery of medication, and there is no other code that accurately describes the device.
5. A patient requires an implantable device for the monitoring of a specific medical condition, and there is no specific code available for the device.