How To Use HCPCS Code C9759

HCPCS code C9759 describes transcatheter intraoperative blood vessel microinfusion(s) therapy, which involves the infusion of substances into blood vessels during a surgical procedure. This code includes the radiological supervision and interpretation, when performed. In this article, we will explore the details of HCPCS code C9759, 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 C9759?

HCPCS code C9759 is used to identify transcatheter intraoperative blood vessel microinfusion(s) therapy. This procedure involves the infusion of substances, such as medications or contrast agents, into blood vessels during a surgical procedure. It is typically performed using a catheter inserted into the blood vessel, allowing for targeted delivery of the infused substances. The purpose of this therapy may vary depending on the specific medical condition being treated, but it is often used to provide localized treatment or diagnostic evaluation.

2. Official Description

The official description of HCPCS code C9759 is “Transcatheter intraoperative blood vessel microinfusion(s) (e.g., intraluminal, vascular wall and/or perivascular) therapy, any vessel, including radiological supervision and interpretation, when performed.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider begins by identifying the blood vessel(s) that require therapy or evaluation.
2. A catheter is inserted into the identified blood vessel(s) using a minimally invasive technique.
3. The provider carefully navigates the catheter to the desired location within the blood vessel.
4. Once the catheter is in place, the provider administers the infusion of the intended substance(s) through the catheter.
5. The provider may perform additional imaging, such as fluoroscopy or angiography, to guide the infusion process and ensure accurate placement of the catheter.
6. Throughout the procedure, the provider monitors the patient’s vital signs and adjusts the infusion as necessary.
7. After the completion of the infusion, the catheter is removed, and appropriate post-procedure care is provided.

4. When to use HCPCS code C9759

HCPCS code C9759 should be used when transcatheter intraoperative blood vessel microinfusion(s) therapy is performed. This code is applicable to any blood vessel and includes the radiological supervision and interpretation, when performed. It is important to ensure that the documentation supports the use of this code and includes the necessary details of the procedure performed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9759, healthcare providers should ensure that the documentation supports the medical necessity of the procedure and includes the following information:

• Identification of the blood vessel(s) treated or evaluated
• Description of the substances infused
• Details of any imaging guidance used during the procedure
• Documentation of the radiological supervision and interpretation, if applicable
• Any additional relevant information supporting the medical necessity of the procedure

6. Historical Information and Code Maintenance

HCPCS code C9759 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. The code is priced by other carriers, as indicated by the pricing indicator code 57, which means other carrier priced.

7. Medicare and Insurance Coverage

HCPCS code C9759 is covered by Medicare. However, it is important to check with individual insurance carriers regarding their specific coverage policies. The pricing of this code is determined by other carriers and is not applicable under one pricing methodology.

8. Examples

Here are five examples of when HCPCS code C9759 should be billed:

1. A patient undergoes a transcatheter intraoperative blood vessel microinfusion therapy for the treatment of a localized tumor in a peripheral blood vessel.
2. During a surgical procedure, the provider performs a transcatheter intraoperative blood vessel microinfusion to deliver a vasoactive medication directly into a coronary artery.
3. A patient with peripheral arterial disease undergoes a transcatheter intraoperative blood vessel microinfusion therapy to improve blood flow in the affected limb.
4. During a surgical procedure, the provider performs a transcatheter intraoperative blood vessel microinfusion to deliver a contrast agent into a cerebral blood vessel for diagnostic evaluation.
5. A patient with a vascular malformation undergoes a transcatheter intraoperative blood vessel microinfusion therapy to occlude the abnormal blood vessels.