How To Use HCPCS Code C9761

HCPCS code C9761 describes a specific procedure known as cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable. This code is used to identify and bill for this particular medical service.

1. What is HCPCS C9761?

HCPCS code C9761 is a specific code used in medical coding to identify the procedure of cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable. This code is used to accurately document and bill for this specific medical service.

2. Official Description

The official description of HCPCS code C9761 is “Cystourethroscopy, with ureteroscopy and/or pyeloscopy, with lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable (must use a steerable ureteral catheter).” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The provider begins by performing cystourethroscopy, which involves inserting a cystoscope into the urethra and bladder to visualize the urinary tract.
2. Ureteroscopy and/or pyeloscopy is then performed, where a ureteroscope or pyeloscope is inserted through the urethra and bladder to examine the ureters and kidneys.
3. If necessary, lithotripsy is performed to break down kidney stones using sound waves or laser energy.
4. Ureteral catheterization is then done using a steerable ureteral catheter to navigate through the urinary tract and perform vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra if applicable.

4. When to use HCPCS code C9761

HCPCS code C9761 should be used when the specific procedure described in the code is performed. It is important to ensure that all the components of the procedure, including cystourethroscopy, ureteroscopy and/or pyeloscopy, lithotripsy, and ureteral catheterization, are performed as described in the code. This code should only be used when the steerable ureteral catheter is utilized during the procedure.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9761, healthcare providers need to ensure that the medical documentation clearly supports the performance of the procedure. The documentation should include details of the cystourethroscopy, ureteroscopy and/or pyeloscopy, lithotripsy, and ureteral catheterization. It should also specify the use of a steerable ureteral catheter during the procedure. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9761 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

Medicare and other insurance providers may cover the procedure described by HCPCS code C9761. 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 check with the specific insurance provider for coverage and reimbursement details.

8. Examples

Here are five examples of when HCPCS code C9761 should be billed:

1. A patient undergoes cystourethroscopy, ureteroscopy, lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra using a steerable ureteral catheter.
2. A physician performs cystourethroscopy, ureteroscopy, lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra using a steerable ureteral catheter on a patient with kidney stones.
3. A urologist utilizes cystourethroscopy, ureteroscopy, lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra using a steerable ureteral catheter during a surgical procedure.
4. A patient with urinary tract abnormalities undergoes cystourethroscopy, ureteroscopy, lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra using a steerable ureteral catheter.
5. A healthcare provider performs cystourethroscopy, ureteroscopy, lithotripsy, and ureteral catheterization for steerable vacuum aspiration of the kidney, collecting system, ureter, bladder, and urethra using a steerable ureteral catheter on a patient with urinary tract infections.