How To Use HCPCS Code C9755

HCPCS code C9755 describes the creation of an arteriovenous fistula using percutaneous techniques that involve magnetic-guided arterial and venous catheters and radiofrequency energy. This code also includes flow-directing procedures, such as vascular coil embolization, as well as various imaging techniques like fistulogram, angiography, venography, and ultrasound, all performed under radiologic supervision and interpretation.

1. What is HCPCS C9755?

HCPCS code C9755 is used to identify the specific procedure of creating an arteriovenous fistula using percutaneous techniques, magnetic-guided arterial and venous catheters, and radiofrequency energy. This code encompasses various flow-directing procedures and imaging techniques performed under radiologic supervision and interpretation.

2. Official Description

The official description of HCPCS code C9755 is as follows: “Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The procedure for HCPCS code C9755 involves the percutaneous creation of an arteriovenous fistula using magnetic-guided arterial and venous catheters and radiofrequency energy.
2. Flow-directing procedures, such as vascular coil embolization, may be performed during the creation of the arteriovenous fistula.
3. Fistulogram(s), angiography, venography, and/or ultrasound may be conducted to assess the success and functionality of the arteriovenous fistula.
4. All procedures are performed under radiologic supervision and interpretation.

4. When to use HCPCS code C9755

HCPCS code C9755 should be used when a healthcare provider performs the specific procedure of creating an arteriovenous fistula using percutaneous techniques, magnetic-guided arterial and venous catheters, and radiofrequency energy. This code is applicable when flow-directing procedures and various imaging techniques are also performed under radiologic supervision and interpretation.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9755, healthcare providers need to document the details of the procedure, including the use of percutaneous techniques, magnetic-guided arterial and venous catheters, radiofrequency energy, flow-directing procedures, and any imaging techniques performed. It is important to include the radiologic supervision and interpretation as well. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9755 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As of June 30, 2020, this code has been terminated. The termination of a code means that it is no longer valid for use in medical coding and billing.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may have specific coverage instructions for HCPCS code C9755. 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 review the coverage guidelines of Medicare and other insurance providers to determine the reimbursement eligibility for this specific procedure.

8. Examples

Here are some examples of when HCPCS code C9755 may be billed:

1. A patient with end-stage renal disease requires the creation of an arteriovenous fistula for hemodialysis access. The healthcare provider performs the percutaneous procedure using magnetic-guided arterial and venous catheters, radiofrequency energy, and flow-directing procedures. Imaging techniques, such as angiography and ultrasound, are also performed under radiologic supervision and interpretation.
2. A patient with peripheral arterial disease needs an arteriovenous fistula for improved blood flow. The healthcare provider utilizes percutaneous techniques, magnetic-guided catheters, and radiofrequency energy to create the fistula. A fistulogram and venography are performed to assess the success of the procedure, all under radiologic supervision and interpretation.
3. A patient with a complex vascular condition requires the creation of an arteriovenous fistula for specialized treatment. The healthcare provider performs the percutaneous procedure using magnetic-guided arterial and venous catheters, radiofrequency energy, and flow-directing procedures. Angiography and ultrasound are conducted to ensure the proper placement and functionality of the fistula, all under radiologic supervision and interpretation.
4. A patient with a history of failed arteriovenous fistulas requires a revision procedure. The healthcare provider utilizes percutaneous techniques, magnetic-guided catheters, and radiofrequency energy to create a new fistula. Vascular coil embolization is performed during the procedure, and a fistulogram is conducted to assess the success of the revision, all under radiologic supervision and interpretation.
5. A patient with a complex vascular condition requires the creation of an arteriovenous fistula for specialized treatment. The healthcare provider performs the percutaneous procedure using magnetic-guided arterial and venous catheters, radiofrequency energy, and flow-directing procedures. Angiography and venography are conducted to assess the success and functionality of the fistula, all under radiologic supervision and interpretation.