How To Use HCPCS Code C2618

HCPCS code C2618 describes a probe/needle used for cryoablation. This code is used to identify the specific medical supply or device that is used in the procedure. In this article, we will explore the details of HCPCS code C2618, including its official description, procedure, when to use it, billing guidelines, historical information, and Medicare and insurance coverage.

1. What is HCPCS C2618?

HCPCS code C2618 is used to identify a probe/needle that is utilized in cryoablation procedures. Cryoablation is a medical technique that involves freezing abnormal tissue to destroy it. The probe/needle described by this code is specifically designed for cryoablation procedures.

2. Official Description

The official description of HCPCS code C2618 is “Probe/needle, cryoablation.” The short description is “Enteral supp not otherwise c.” This description accurately represents the purpose and use of the code.

3. Procedure

  1. The provider begins by preparing the patient for the cryoablation procedure.
  2. Anesthesia is administered to ensure the patient’s comfort during the procedure.
  3. The provider then uses imaging guidance, such as ultrasound or CT scan, to locate the target tissue for cryoablation.
  4. The probe/needle described by HCPCS code C2618 is inserted into the target tissue.
  5. The probe/needle delivers extreme cold temperatures to freeze and destroy the abnormal tissue.
  6. After the cryoablation procedure is complete, the probe/needle is removed from the patient.

4. When to use HCPCS code C2618

HCPCS code C2618 should be used when a provider performs a cryoablation procedure using the specific probe/needle described by this code. It is important to ensure that the procedure meets the criteria for cryoablation and that the probe/needle is the appropriate device for the intended purpose.

5. Billing Guidelines and Documentation Requirements

When billing for the cryoablation procedure using HCPCS code C2618, healthcare providers should ensure that the necessary documentation is in place. This may include the patient’s medical records, details of the procedure performed, and any supporting documentation that justifies the use of the specific probe/needle described by the code. Providers should follow the billing guidelines set forth by Medicare or other insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C2618 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. The code has remained unchanged since its inclusion in the system.

7. Medicare and Insurance Coverage

HCPCS code C2618 is eligible for coverage under Medicare and other insurance plans. The pricing indicator code 57 indicates that the code is priced by carriers using other methodologies. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for additional guidance on coverage and reimbursement for this code.

8. Examples

Here are five examples of scenarios where HCPCS code C2618 should be billed:

  1. A patient with liver cancer undergoes cryoablation using the specific probe/needle described by HCPCS code C2618.
  2. A provider performs cryoablation on a patient with prostate cancer, utilizing the probe/needle identified by HCPCS code C2618.
  3. A physician uses the probe/needle described by HCPCS code C2618 to perform cryoablation on a patient with renal cell carcinoma.
  4. A provider performs cryoablation on a patient with lung tumors, utilizing the specific probe/needle identified by HCPCS code C2618.
  5. A patient with bone metastases undergoes cryoablation using the probe/needle described by HCPCS code C2618.

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