How To Use HCPCS Code C9772

HCPCS code C9772 describes a specific procedure known as revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies) with intravascular lithotripsy. This code is used to identify and bill for the performance of this procedure in medical coding and billing.

1. What is HCPCS C9772?

HCPCS code C9772 is a specific code used to identify the procedure of revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies) with intravascular lithotripsy. This procedure involves the restoration of blood flow in the tibial and peroneal arteries using endovascular techniques, either through open surgery or percutaneous methods. Intravascular lithotripsy is also performed during this procedure, which involves the use of shockwaves to break up calcified plaque within the arteries. The angioplasty within the same vessel(s) is also included in this code.

2. Official Description

The official description of HCPCS code C9772 is “Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies), with intravascular lithotripsy, includes angioplasty within the same vessel(s), when performed.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure of HCPCS code C9772 involves the revascularization of the tibial and peroneal arteries using endovascular techniques.
2. The procedure can be performed through open surgery or percutaneous methods.
3. Intravascular lithotripsy is performed during the procedure to break up calcified plaque within the arteries.
4. Angioplasty within the same vessel(s) is also included in this code.

4. When to use HCPCS code C9772

HCPCS code C9772 should be used when the healthcare provider performs the specific procedure of revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies) with intravascular lithotripsy. This code is used to accurately identify and bill for this particular procedure.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9772, healthcare providers need to document the performance of the revascularization procedure, including the specific arteries involved (tibial and/or peroneal), the method used (endovascular, open, or percutaneous), and the use of intravascular lithotripsy. Documentation should also include any angioplasty performed within the same vessel(s).

6. Historical Information and Code Maintenance

HCPCS code C9772 was added to the Healthcare Common Procedure Coding System on January 01, 1985. 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 C9772 is covered by Medicare and other insurance carriers. 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.

8. Examples

Here are five examples of when HCPCS code C9772 should be billed:

1. A patient with peripheral arterial disease undergoes revascularization of the tibial and peroneal arteries using endovascular techniques and intravascular lithotripsy.
2. A patient with chronic limb ischemia requires open surgery for the revascularization of the tibial and peroneal arteries, including angioplasty within the same vessels.
3. A patient with calcified plaque in the tibial and peroneal arteries undergoes percutaneous revascularization with intravascular lithotripsy.
4. A patient with recurrent arterial stenosis in the tibial and peroneal arteries undergoes repeat endovascular revascularization with angioplasty and intravascular lithotripsy.
5. A patient with critical limb ischemia undergoes open surgery for the revascularization of the tibial and peroneal arteries, including angioplasty within the same vessels.