How To Use HCPCS Code C1982

HCPCS code C1982 describes a catheter with a pressure-generating, one-way valve that is intermittently occlusive. This code is used to identify a specific type of parenteral supply that is not otherwise classified. In this article, we will explore the details of HCPCS code C1982, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and other insurance providers.

1. What is HCPCS C1982?

HCPCS code C1982 is a specific code used to identify a catheter with a pressure-generating, one-way valve that is intermittently occlusive. This code is assigned to a parenteral supply that is not otherwise classified under any other HCPCS code. It is important to use this code accurately to ensure proper documentation and billing for the specific type of catheter being provided.

2. Official Description

The official description of HCPCS code C1982 is “Catheter, pressure-generating, one-way valve, intermittently occlusive.” This description accurately represents the purpose and function of the catheter covered by this code. The short description for this code is “Parenteral supp not othrws c,” which further clarifies that it is a parenteral supply that is not classified under any other code.

3. Procedure

1. The procedure for using the catheter described by HCPCS code C1982 involves inserting it into the appropriate body cavity or vessel.
2. The catheter’s pressure-generating feature helps regulate the flow of fluids or substances through the catheter.
3. The one-way valve ensures that the flow is unidirectional, preventing backflow or leakage.
4. The intermittently occlusive nature of the catheter allows for controlled occlusion and release of the flow as needed.
5. Healthcare providers should follow standard catheter insertion and maintenance procedures when using this specific catheter.

4. When to use HCPCS code C1982

HCPCS code C1982 should be used when providing a catheter with a pressure-generating, one-way valve that is intermittently occlusive. This code is applicable in situations where this specific type of catheter is required for patient care. It is important to review the official description and ensure that the catheter being provided meets the criteria outlined in the code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C1982, healthcare providers need to document the medical necessity for using this specific catheter. This may include the patient’s condition or diagnosis that requires the use of this catheter, as well as any supporting documentation or test results. It is essential to follow the billing guidelines set forth by the payer, ensuring accurate coding and appropriate documentation to support the claim.

6. Historical Information and Code Maintenance

HCPCS code C1982 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. This code has remained unchanged since its inception, providing consistent identification for the specific catheter it represents.

7. Medicare and Insurance Coverage

HCPCS code C1982 is eligible for coverage by Medicare and other insurance providers. 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, indicating that it is not applicable as HCPCS priced under one methodology. Healthcare providers should review the specific coverage policies of Medicare and other insurers to ensure proper reimbursement for the catheter provided using this code.

8. Examples

Here are five examples of when HCPCS code C1982 should be billed:

1. A patient with a chronic condition requiring intermittent catheterization to manage bladder function.
2. A post-operative patient who requires a catheter with a pressure-generating, one-way valve to regulate fluid drainage.
3. A patient with a vascular disorder requiring the use of an intermittently occlusive catheter to control blood flow.
4. A patient undergoing a specific medical procedure that necessitates the use of a catheter with a pressure-generating feature.
5. A patient with a complex medical condition requiring long-term catheterization and the use of a catheter with a one-way valve to prevent backflow.