How To Use HCPCS Code C1897

HCPCS code C1897 describes a lead neurostimulator test kit that is implantable. This code is used to identify a specific parenteral supply that is not otherwise classified. It is important for medical coders to understand the meaning and usage of this code in order to accurately bill for the services provided.

1. What is HCPCS C1897?

HCPCS code C1897 is used to identify a lead neurostimulator test kit that is implantable. This code specifically refers to a parenteral supply that is not otherwise classified. It is important to note that this code is used for billing purposes and does not provide any information about the specific procedure or treatment being performed.

2. Official Description

The official description of HCPCS code C1897 is “Lead, neurostimulator test kit (implantable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions provide a clear understanding of the type of supply that is being billed for using this code.

3. Procedure

1. Step 1: Prepare the patient for the neurostimulator test.
2. Step 2: Access the implantable neurostimulator device.
3. Step 3: Connect the lead neurostimulator test kit to the device.
4. Step 4: Perform the necessary tests to evaluate the functionality of the neurostimulator.
5. Step 5: Document the results of the test and any additional information required for billing purposes.

4. When to use HCPCS code C1897

HCPCS code C1897 should be used when billing for the specific parenteral supply described in the official description. It is important to ensure that the supply being billed for matches the description provided by the code. This code may have specific coverage instructions that apply, so it is important to review any applicable guidelines or criteria before using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1897, healthcare providers should ensure that the necessary documentation is in place to support the use of this code. This may include documentation of the procedure performed, the medical necessity of the supply, and any other relevant information required by payers. It is important to follow the specific billing guidelines provided by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C1897 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. This code has a pricing indicator code of 57, which indicates that it is priced by other carriers. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology. The code has an action code of N, indicating that no maintenance actions have been taken for this code.

7. Medicare and Insurance Coverage

Medicare coverage for HCPCS code C1897 may vary depending on the specific circumstances and guidelines set forth by the Centers for Medicare and Medicaid Services (CMS). It is important to review the Medicare Carriers Manual Reference Section Number 2130, which provides additional information on coverage and reimbursement for this code. Other insurance providers may also have their own coverage policies and pricing methodologies for this code.

8. Examples

Here are five examples of when HCPCS code C1897 should be billed:

1. A patient undergoes a neurostimulator test using an implantable lead neurostimulator test kit.
2. A healthcare provider performs a neurostimulator test on a patient with chronic pain using an implantable lead neurostimulator test kit.
3. A neurologist evaluates the functionality of a neurostimulator device using an implantable lead neurostimulator test kit.
4. A patient with a spinal cord injury undergoes a neurostimulator test using an implantable lead neurostimulator test kit.
5. A healthcare provider performs a neurostimulator test on a patient with Parkinson’s disease using an implantable lead neurostimulator test kit.