How To Use HCPCS Code C9600

HCPCS code C9600 describes the percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed, specifically for a single major coronary artery or branch. This code is used to identify and bill for this specific procedure in medical coding and billing.

1. What is HCPCS C9600?

HCPCS code C9600 is a specific code used in medical coding to identify the percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed, for a single major coronary artery or branch. This code is used to accurately describe and bill for this procedure in healthcare settings.

2. Official Description

The official description of HCPCS code C9600 is “Percutaneous transcatheter placement of drug eluting intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branch.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure for HCPCS code C9600 involves the percutaneous transcatheter placement of drug eluting intracoronary stent(s) in a single major coronary artery or branch. This is done using a catheter-based approach, where a small incision is made in the skin and a catheter is inserted into the blood vessels.
2. The catheter is guided to the site of the coronary artery or branch that requires treatment.
3. A drug eluting intracoronary stent is then placed at the site of the blockage or narrowing in the artery.
4. Coronary angioplasty, which involves the use of a balloon catheter to widen the artery, may also be performed during the procedure.
5. The procedure is typically performed under local anesthesia, and patients may be required to stay in the hospital for monitoring and recovery.

4. When to use HCPCS code C9600

HCPCS code C9600 should be used when the percutaneous transcatheter placement of drug eluting intracoronary stent(s) is performed on a single major coronary artery or branch. This code is specific to this procedure and should not be used for other types of interventions or treatments.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9600, healthcare providers need to ensure that the documentation accurately reflects the performance of the procedure. This includes documenting the specific coronary artery or branch that was treated, as well as any additional procedures performed, such as coronary angioplasty.

6. Historical Information and Code Maintenance

HCPCS code C9600 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

HCPCS code C9600 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 that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code C9600 should be billed:

1. A patient undergoes percutaneous transcatheter placement of drug eluting intracoronary stent(s) in a single major coronary artery to treat a blockage.
2. A patient with a narrowing in a major coronary artery undergoes the placement of a drug eluting intracoronary stent, along with coronary angioplasty.
3. A patient with a branch of a major coronary artery that is blocked undergoes the placement of a drug eluting intracoronary stent to restore blood flow.
4. A patient with a significant narrowing in a single major coronary artery undergoes the placement of a drug eluting intracoronary stent to improve blood flow.
5. A patient with a blockage in a branch of a major coronary artery undergoes the placement of a drug eluting intracoronary stent to open up the artery.