How To Use HCPCS Code C7553

HCPCS code C7553 describes a specific medical procedure known as catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation. This code also includes right and left heart catheterization, intraprocedural injection(s) for left ventriculography, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts), bypass graft angiography with pharmacologic agent administration, and assessing hemodynamic measurements before, during, after, and repeat pharmacologic agent administration.

1. What is HCPCS C7553?

HCPCS code C7553 is a specific code used to identify the procedure of catheter placement in coronary artery(s) for coronary angiography, including various additional components such as intraprocedural injections, imaging supervision and interpretation, and catheter placement in bypass grafts. This code is used to accurately document and bill for these specific services provided by healthcare providers.

2. Official Description

The official description of HCPCS code C7553 is “Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure of HCPCS code C7553 involves the placement of a catheter in the coronary artery(s) for the purpose of performing a coronary angiography.
2. Intraprocedural injection(s) are administered during the coronary angiography to enhance imaging and provide a clearer view of the coronary arteries.
3. The procedure also includes the placement of catheters in the right and left heart for the purpose of performing a left ventriculography, if necessary.
4. If bypass grafts (such as internal mammary, free arterial, or venous grafts) are present, catheter placement in these grafts is also performed.
5. Bypass graft angiography is then performed, and pharmacologic agents may be administered to assess the hemodynamic measurements before, during, after, and repeat administration of the agent.

4. When to use HCPCS code C7553

HCPCS code C7553 should be used when healthcare providers perform the specific procedure described in the official description. This code is applicable when catheter placement in coronary artery(s) is performed for coronary angiography, along with the additional components mentioned, such as intraprocedural injections, imaging supervision and interpretation, catheter placement in bypass grafts, bypass graft angiography, and pharmacologic agent administration with hemodynamic measurements assessment.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C7553, healthcare providers need to ensure that the documentation accurately reflects the performance of the specific procedure and the additional components involved. This includes documenting the catheter placement in coronary artery(s), intraprocedural injections, imaging supervision and interpretation, catheter placement in bypass grafts, bypass graft angiography, and pharmacologic agent administration with hemodynamic measurements assessment. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C7553 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. No maintenance actions have been taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has been in use for a significant period of time without any major changes or revisions.

7. Medicare and Insurance Coverage

HCPCS code C7553 is covered 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. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions regarding the coverage and reimbursement of this code.

8. Examples

Here are five examples of when HCPCS code C7553 should be billed:

1. A patient undergoes a coronary angiography with catheter placement in the coronary artery(s) and intraprocedural injections for enhanced imaging.
2. A patient undergoes a coronary angiography with catheter placement in the coronary artery(s), intraprocedural injections, and imaging supervision and interpretation.
3. A patient undergoes a coronary angiography with catheter placement in the coronary artery(s), intraprocedural injections, imaging supervision and interpretation, and catheter placement in bypass grafts.
4. A patient undergoes a coronary angiography with catheter placement in the coronary artery(s), intraprocedural injections, imaging supervision and interpretation, catheter placement in bypass grafts, and bypass graft angiography with pharmacologic agent administration.
5. A patient undergoes a coronary angiography with catheter placement in the coronary artery(s), intraprocedural injections, imaging supervision and interpretation, catheter placement in bypass grafts, bypass graft angiography with pharmacologic agent administration, and assessment of hemodynamic measurements before, during, after, and repeat administration of the agent.