How To Use HCPCS Code C2619

HCPCS code C2619 describes a specific type of pacemaker known as a dual chamber, non rate-responsive implantable pacemaker. This code is used to identify and bill for this particular medical device and is essential for accurate medical coding and billing.

1. What is HCPCS C2619?

HCPCS code C2619 is a specific alphanumeric code that is part of the Healthcare Common Procedure Coding System (HCPCS). It is used to identify and classify the dual chamber, non rate-responsive implantable pacemaker. This code is important for medical coders and billers to ensure proper reimbursement and documentation for this specific medical device.

2. Official Description

The official description of HCPCS code C2619 is “Pacemaker, dual chamber, non rate-responsive (implantable)”. The short description for this code is “Parenteral supp not othrws c”. These descriptions accurately define the specific pacemaker device that is being coded and billed.

3. Procedure

1. The procedure for implanting a dual chamber, non rate-responsive pacemaker involves several steps. Firstly, the patient is prepared for the procedure by cleaning and sterilizing the implantation site.
2. An incision is made in the chest to access the heart. The pacemaker leads are then inserted into the appropriate chambers of the heart.
3. The pacemaker device is then implanted under the skin, typically in the upper chest area. The leads are connected to the device, and the incision is closed.
4. Once the pacemaker is implanted, it is programmed to deliver electrical impulses to regulate the heart’s rhythm and ensure proper functioning.
5. Regular follow-up appointments are necessary to monitor the pacemaker’s performance and make any necessary adjustments.

4. When to use HCPCS code C2619

HCPCS code C2619 should be used when billing for the implantation of a dual chamber, non rate-responsive pacemaker. This code is specific to this type of pacemaker and should not be used for other types of pacemakers or medical devices.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code C2619, healthcare providers must ensure that the necessary documentation is in place to support the medical necessity of the pacemaker implantation. This may include medical records, diagnostic test results, and physician orders. Additionally, proper coding and billing practices should be followed to ensure accurate reimbursement for the procedure.

6. Historical Information and Code Maintenance

HCPCS code C2619 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may provide coverage for the implantation of a dual chamber, non rate-responsive pacemaker when deemed medically necessary. The pricing indicator code for HCPCS code C2619 is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C2619 should be billed:

1. A 65-year-old patient with a history of heart arrhythmias undergoes implantation of a dual chamber, non rate-responsive pacemaker to regulate their heart rhythm.
2. A 50-year-old patient with heart failure receives a dual chamber, non rate-responsive pacemaker to improve their heart’s pumping function.
3. A 70-year-old patient with bradycardia undergoes pacemaker implantation to maintain a regular heart rate.
4. A 55-year-old patient with atrial fibrillation receives a dual chamber, non rate-responsive pacemaker to restore normal heart rhythm.
5. A 60-year-old patient with a history of heart block undergoes pacemaker implantation to ensure proper electrical conduction in the heart.