How To Use HCPCS Code C9773

HCPCS code C9773 describes a specific procedure known as revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies). This procedure involves the use of intravascular lithotripsy, transluminal stent placement(s), and angioplasty within the same vessel(s), when performed. It is important for medical coders to understand the details and appropriate usage of this code to ensure accurate billing and reimbursement.

1. What is HCPCS C9773?

HCPCS code C9773 is used to identify the specific procedure of revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies). This procedure involves the use of intravascular lithotripsy, transluminal stent placement(s), and angioplasty within the same vessel(s), when performed. It is important to note that this code specifically refers to the tibial/peroneal artery(ies) and not other arteries in the body.

2. Official Description

The official description of HCPCS code C9773 is “Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy, and transluminal stent placement(s), includes angioplasty within the same vessel(s), when performed.” The short description for this code is “Parenteral supp not othrws c.”

3. Procedure

1. The procedure begins with the insertion of a catheter into the tibial/peroneal artery(ies) through a small incision or percutaneously.
2. Intravascular lithotripsy is then performed to break up any calcified plaque or obstructions within the artery(ies).
3. Transluminal stent placement(s) is done to provide support and maintain the patency of the artery(ies).
4. Angioplasty may be performed within the same vessel(s) to further open up any narrowed or blocked areas.
5. The procedure is completed by removing the catheter and ensuring hemostasis at the insertion site(s).

4. When to use HCPCS code C9773

HCPCS code C9773 should be used when the provider performs revascularization of the tibial/peroneal artery(ies) using intravascular lithotripsy, transluminal stent placement(s), and angioplasty within the same vessel(s). It is important to ensure that the procedure is specifically targeted towards the tibial/peroneal artery(ies) and not other arteries in the body.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C9773, healthcare providers should ensure that the medical documentation clearly supports the performance of the procedure. This includes documenting the specific artery(ies) targeted, the use of intravascular lithotripsy, transluminal stent placement(s), and angioplasty, and any other relevant details. It is also important to follow the specific billing guidelines and requirements of the payer, such as Medicare or other insurance carriers.

6. Historical Information and Code Maintenance

HCPCS code C9773 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. The code has a pricing indicator code of 57, which indicates that 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. 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 C9773 may be covered by Medicare and other insurance carriers. However, it is important to verify coverage and reimbursement policies with the specific payer. The Medicare Carriers Manual Reference Section Number for this code is 2130. Providers should follow the guidelines and requirements outlined by Medicare or other insurance carriers when billing for this procedure.

8. Examples

Here are five examples of when HCPCS code C9773 should be billed:

1. A patient with peripheral arterial disease undergoes revascularization of the tibial/peroneal artery(ies) using intravascular lithotripsy, transluminal stent placement(s), and angioplasty.
2. A diabetic patient with critical limb ischemia requires intervention in the tibial/peroneal artery(ies) to restore blood flow using the specified procedures.
3. An individual with a history of peripheral artery occlusion undergoes a revascularization procedure in the tibial/peroneal artery(ies) to alleviate symptoms and improve circulation.
4. A patient with chronic lower extremity ischemia undergoes endovascular intervention in the tibial/peroneal artery(ies) to improve blood flow and prevent amputation.
5. An individual with recurrent peripheral artery disease undergoes a repeat revascularization procedure in the tibial/peroneal artery(ies) using the specified techniques.