How To Use HCPCS Code C9775

HCPCS code C9775 describes a specific procedure known as revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, includes angioplasty within the same vessel(s), when performed. This code is used to identify a complex intervention that involves the restoration of blood flow in the tibial or peroneal arteries using various techniques such as intravascular lithotripsy, stent placement, atherectomy, and angioplasty.

1. What is HCPCS C9775?

HCPCS code C9775 is a specific code used in medical coding to identify a procedure that involves the revascularization of the tibial or peroneal arteries. This procedure is performed using endovascular techniques, either through an open surgical approach or percutaneously. The purpose of this procedure is to restore blood flow in the affected arteries and improve circulation to the lower extremities.

2. Official Description

The official description of HCPCS code C9775 is “Revascularization, endovascular, open or percutaneous, tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s), and atherectomy, 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 affected tibial or peroneal artery.
2. Intravascular lithotripsy is performed to break up any calcified plaque or obstructions within the artery.
3. Transluminal stent placement(s) is then carried out to provide structural support and maintain the patency of the artery.
4. Atherectomy is performed to remove any remaining plaque or debris from the artery.
5. Finally, angioplasty is performed within the same vessel(s) to further widen the artery and improve blood flow.

4. When to use HCPCS code C9775

HCPCS code C9775 should be used when documenting and billing for the specific procedure described in the code. This code is applicable when revascularization of the tibial or peroneal arteries is performed using intravascular lithotripsy, transluminal stent placement(s), atherectomy, and angioplasty within the same vessel(s).

5. Billing Guidelines and Documentation Requirements

When using HCPCS code C9775, healthcare providers should ensure that the documentation supports the performance of all the components of the procedure, including intravascular lithotripsy, transluminal stent placement(s), atherectomy, and angioplasty. It is important to include detailed information about the specific vessels treated and any complications encountered during the procedure.

6. Historical Information and Code Maintenance

HCPCS code C9775 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 the code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code C9775 is covered by Medicare and other insurance carriers. The pricing indicator code 57 indicates that the code is priced by other carriers using their own fee schedules or methodologies. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of scenarios where HCPCS code C9775 may be used:

1. A patient with peripheral arterial disease undergoes revascularization of the tibial artery using intravascular lithotripsy, transluminal stent placement, atherectomy, and angioplasty.
2. A diabetic patient with critical limb ischemia requires endovascular intervention in the peroneal artery to restore blood flow and prevent amputation.
3. A patient with a history of peripheral artery occlusion undergoes a complex revascularization procedure involving multiple tibial arteries.
4. A patient with chronic lower extremity pain undergoes an open surgical revascularization procedure in the tibial artery.
5. A patient with atherosclerosis in the peroneal artery undergoes a percutaneous revascularization procedure using intravascular lithotripsy, transluminal stent placement, atherectomy, and angioplasty.