How To Use HCPCS Code C1894

HCPCS code C1894 describes an introducer/sheath that is used for procedures other than guiding and intracardiac electrophysiological procedures, and it is specifically designated for non-laser use. This code falls under the category of enteral supplies that are not otherwise classified. In this article, we will explore the details of HCPCS code C1894, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1894?

HCPCS code C1894 is used to identify an introducer/sheath that is utilized in medical procedures other than guiding and intracardiac electrophysiological procedures. It is important to note that this code specifically applies to non-laser procedures. The purpose of this code is to accurately document and bill for the use of this specific type of introducer/sheath in medical settings.

2. Official Description

The official description of HCPCS code C1894 is “Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser.” The short description for this code is “Enteral supp not otherwise c.” These descriptions provide a clear understanding of the purpose and scope of this code.

3. Procedure

1. Prepare the patient for the procedure, ensuring their comfort and safety.
2. Select the appropriate size and type of introducer/sheath based on the specific procedure requirements.
3. Ensure proper sterilization and cleanliness of the introducer/sheath.
4. Administer local anesthesia, if necessary, to minimize patient discomfort.
5. Insert the introducer/sheath into the desired location, following established medical protocols and guidelines.
6. Monitor the patient’s condition throughout the procedure and make any necessary adjustments.
7. Remove the introducer/sheath once the procedure is complete, taking care to minimize any potential complications.
8. Properly dispose of the used introducer/sheath according to medical waste management guidelines.

4. When to use HCPCS code C1894

HCPCS code C1894 should be used when an introducer/sheath is utilized in medical procedures that do not involve guiding or intracardiac electrophysiological techniques. It is important to note that this code is specifically intended for non-laser procedures. Healthcare providers should ensure that the procedure meets the criteria outlined in the official description of the code before using it for billing purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1894, healthcare providers need to document the specific details of the procedure, including the medical necessity for using the introducer/sheath, the type and size of the introducer/sheath used, and any relevant patient information. It is essential to maintain accurate and detailed documentation to support the billing of this code.

6. Historical Information and Code Maintenance

HCPCS code C1894 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. This code has remained unchanged since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C1894 is subject to special coverage instructions, as indicated by the coverage code D. This means that specific guidelines or criteria may apply when seeking reimbursement for this code. The pricing indicator code for this code is 57, which indicates that it is priced by carriers other than Medicare. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. Healthcare providers should consult the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of scenarios where HCPCS code C1894 should be billed:

1. A gastroenterologist uses an introducer/sheath during an endoscopic procedure to facilitate the insertion of a feeding tube.
2. A vascular surgeon utilizes an introducer/sheath to guide the placement of a stent in a patient with peripheral artery disease.
3. An interventional radiologist employs an introducer/sheath to perform a biopsy on a suspicious lesion in a patient’s liver.
4. A urologist uses an introducer/sheath during a ureteroscopy procedure to access and remove kidney stones.
5. An interventional cardiologist utilizes an introducer/sheath to perform a percutaneous coronary intervention (PCI) in a patient with coronary artery disease.