How To Use HCPCS Code C9774

HCPCS code C9774 describes a specific procedure known as revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies) with intravascular lithotripsy and atherectomy, including angioplasty within the same vessel(s) when performed. This code is used to identify and bill for this particular medical intervention.

1. What is HCPCS C9774?

HCPCS code C9774 is a specific code used in medical coding to identify the procedure of revascularization, endovascular, open or percutaneous, of the tibial/peroneal artery(ies) with intravascular lithotripsy and atherectomy, including angioplasty within the same vessel(s) when performed. It is important to note that this code is specific to this particular procedure and should not be used for any other interventions or services.

2. Official Description

The official description of HCPCS code C9774 is “Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy, 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 C9774 involves revascularization of the tibial/peroneal artery(ies) using endovascular techniques.
2. The procedure can be performed either through an open surgical approach or percutaneously.
3. Intravascular lithotripsy and atherectomy are utilized during the procedure to remove any obstructions or calcifications within the artery(ies).
4. If necessary, angioplasty may also be performed within the same vessel(s) to further improve blood flow.
5. The specific steps and techniques used during the procedure may vary depending on the patient’s condition and the provider’s expertise.

4. When to use HCPCS code C9774

HCPCS code C9774 should be used when documenting and billing for the revascularization procedure described in the official description. It is important to ensure that the procedure performed aligns with the specific details outlined in the code description. This code should not be used for any other procedures or services.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code C9774, healthcare providers should ensure that the necessary documentation is in place to support the medical necessity of the procedure. This may include detailed notes on the patient’s condition, the rationale for performing the procedure, and any relevant diagnostic test results. Additionally, providers should follow the appropriate billing guidelines and submit the claim with the correct coding information to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code C9774 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions since its addition to the coding system.

7. Medicare and Insurance Coverage

HCPCS code C9774 falls under the special coverage instructions category, denoted by the coverage code D. This indicates that there may be specific coverage guidelines or limitations for this procedure under Medicare or other insurance plans. Providers should review the relevant coverage policies and guidelines to determine the eligibility and reimbursement criteria for this code.

8. Examples

Here are five examples of scenarios where HCPCS code C9774 may be used:

1. A patient with peripheral arterial disease undergoes revascularization of the tibial artery using endovascular techniques, including intravascular lithotripsy and atherectomy.
2. An individual with chronic limb ischemia requires open revascularization of the peroneal artery, with angioplasty performed within the same vessel.
3. A patient with atherosclerosis of the tibial artery undergoes percutaneous revascularization, with both intravascular lithotripsy and atherectomy utilized during the procedure.
4. An individual with recurrent arterial occlusions in the tibial/peroneal arteries undergoes endovascular revascularization, including angioplasty and atherectomy.
5. A patient with critical limb ischemia undergoes open revascularization of multiple tibial/peroneal arteries, with intravascular lithotripsy performed to remove calcifications.