How To Use HCPCS Code C9752

HCPCS code C9752 describes the destruction of the intraosseous basivertebral nerve in the first two vertebral bodies, including imaging guidance such as fluoroscopy, in the lumbar/sacrum region. This code is used to identify a specific procedure performed by healthcare providers. In this article, we will explore the details of HCPCS code C9752, 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 C9752?

HCPCS code C9752 is a specific code used to identify the destruction of the intraosseous basivertebral nerve in the first two vertebral bodies, including imaging guidance, in the lumbar/sacrum region. This code is important for medical coders and billers to accurately document and bill for this particular procedure.

2. Official Description

The official description of HCPCS code C9752 is “Destruction of intraosseous basivertebral nerve, first two vertebral bodies, including imaging guidance (e.g., fluoroscopy), lumbar/sacrum.” This description provides a clear understanding of the procedure being performed.

3. Procedure

1. The provider begins by preparing the patient for the procedure, ensuring their comfort and safety.
2. Imaging guidance, such as fluoroscopy, is used to accurately locate the intraosseous basivertebral nerve in the first two vertebral bodies in the lumbar/sacrum region.
3. The provider then proceeds to destroy the intraosseous basivertebral nerve using an appropriate technique or method.
4. Throughout the procedure, the provider ensures the patient’s well-being and monitors their vital signs.
5. After the destruction of the nerve, the provider may provide any necessary post-procedure care or instructions to the patient.

4. When to use HCPCS code C9752

HCPCS code C9752 should be used when the destruction of the intraosseous basivertebral nerve in the first two vertebral bodies, including imaging guidance, is performed in the lumbar/sacrum region. It is important to ensure that the procedure meets the specific criteria outlined in the code description before using this code for billing purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9752, healthcare providers need to ensure that the procedure is properly documented in the patient’s medical record. This documentation should include details of the procedure performed, the specific vertebral bodies targeted, the use of imaging guidance, and any other relevant information. Additionally, providers should follow the billing guidelines set forth by the relevant insurance carriers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9752 was added to the Healthcare Common Procedure Coding System on January 1, 1985. It has an effective date of January 1, 1996. As of December 31, 2021, this code has been terminated. The termination of a code indicates that it is no longer valid for use in medical coding and billing.

7. Medicare and Insurance Coverage

HCPCS code C9752 may have specific coverage instructions that apply, as indicated by the coverage code D. The pricing indicator code for this code is 57, which means it is priced by other carriers. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. It is important for healthcare providers to verify coverage and reimbursement policies with Medicare and other insurance carriers to ensure proper billing and reimbursement for this procedure.

8. Examples

Here are five examples of when HCPCS code C9752 should be billed:

1. A patient with chronic lower back pain undergoes the destruction of the intraosseous basivertebral nerve in the lumbar region using imaging guidance.
2. A patient with sacral nerve pain receives the destruction of the intraosseous basivertebral nerve in the sacrum region, guided by fluoroscopy.
3. A patient with a vertebral fracture undergoes the destruction of the intraosseous basivertebral nerve in the first two vertebral bodies in the lumbar/sacrum region.
4. A patient with degenerative disc disease undergoes the destruction of the intraosseous basivertebral nerve in the lumbar/sacrum region to alleviate pain and improve function.
5. A patient with failed back surgery syndrome receives the destruction of the intraosseous basivertebral nerve in the lumbar/sacrum region as a treatment option.