How To Use HCPCS Code C2624

HCPCS code C2624 describes an implantable wireless pulmonary artery pressure sensor with a delivery catheter, including all system components. This code is used to identify a specific medical device that is used to monitor the pressure in the pulmonary artery. In this article, we will explore the details of HCPCS code C2624, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS C2624?

HCPCS code C2624 is used to identify an implantable wireless pulmonary artery pressure sensor with a delivery catheter, including all system components. This device is used to monitor the pressure in the pulmonary artery, providing valuable information for the management of certain cardiovascular conditions. It is important to note that this code specifically refers to the device itself and does not include any associated procedures or services.

2. Official Description

The official description of HCPCS code C2624 is “Implantable wireless pulmonary artery pressure sensor with delivery catheter, including all system components.” The short description for this code is “Enteral supp not otherwise c.” This description accurately reflects the purpose and components of the device.

3. Procedure

1. The procedure for implanting the wireless pulmonary artery pressure sensor with a delivery catheter involves several steps:
2. The patient is prepared for the procedure, which may include anesthesia or sedation.
3. A small incision is made in the appropriate area to access the pulmonary artery.
4. The delivery catheter is inserted into the incision and guided to the desired location within the pulmonary artery.
5. The wireless pressure sensor is then implanted at the targeted site.
6. All system components, including any necessary connectors or transmitters, are properly attached.
7. The incision is closed, and the patient is monitored for any post-procedure complications.

4. When to use HCPCS code C2624

HCPCS code C2624 should be used when reporting the implantation of an implantable wireless pulmonary artery pressure sensor with a delivery catheter, including all system components. This code is used to indicate the provision of the device itself and does not include any associated procedures or services. It is important to review the specific documentation and guidelines provided by payers to ensure accurate and appropriate use of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C2624, healthcare providers should ensure that the necessary documentation is included to support the use of the code. This may include the operative report, documentation of medical necessity, and any other relevant clinical information. It is important to follow the specific billing guidelines provided by payers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C2624 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. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code C2624 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, which means it is not applicable as HCPCS priced under one methodology. It is important to verify coverage and reimbursement policies with individual payers to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code C2624 should be billed:

1. A patient with severe pulmonary hypertension undergoes the implantation of an implantable wireless pulmonary artery pressure sensor with a delivery catheter to monitor their pulmonary artery pressure.
2. A patient with heart failure receives the implantable wireless pulmonary artery pressure sensor with a delivery catheter as part of their ongoing management and monitoring.
3. A patient with a history of pulmonary embolism undergoes the implantation of the wireless pressure sensor to monitor their pulmonary artery pressure and detect any potential complications.
4. A patient with a congenital heart defect requires the implantable wireless pulmonary artery pressure sensor to monitor their pulmonary artery pressure and guide their treatment plan.
5. A patient with a history of recurrent pulmonary edema receives the implantable wireless pulmonary artery pressure sensor to monitor their pulmonary artery pressure and optimize their medication regimen.