How To Use HCPCS Code E1637

HCPCS code E1637 describes the use of hemostats, each, in medical procedures. In this article, we will explore the details of this code, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS E1637?

HCPCS code E1637 is used to identify hemostats, each, which are medical devices used to control bleeding during surgical procedures. These devices are designed to clamp blood vessels, preventing excessive bleeding and facilitating the surgical process. Hemostats are commonly used in various surgical specialties, including general surgery, orthopedics, and gynecology.

2. Official Description

The official description of HCPCS code E1637 is “Hemostats, each.” This concise description accurately represents the purpose and nature of the medical device.

3. Procedure

1. Before using the hemostat, the healthcare provider ensures that the device is sterile and in proper working condition.
2. The provider identifies the bleeding site and carefully applies the hemostat to the blood vessel, clamping it securely.
3. The hemostat remains in place until the bleeding is controlled.
4. Once the bleeding is under control, the provider removes the hemostat, ensuring that no further bleeding occurs.
5. The provider may repeat this procedure if necessary, using additional hemostats as needed.

4. When to use HCPCS code E1637

HCPCS code E1637 should be used when hemostats are utilized during a medical procedure to control bleeding. It is important to note that this code is specific to the use of hemostats and should not be used for other types of medical devices or supplies.

5. Billing Guidelines and Documentation Requirements

When billing for the use of HCPCS code E1637, healthcare providers should ensure that the following documentation is included:

• Procedure notes indicating the use of hemostats and the specific procedure performed
• Documentation supporting the medical necessity of using hemostats
• Any additional documentation required by the payer or insurer

Providers should follow the appropriate billing guidelines and submit the claim with the correct HCPCS code and any required modifiers or additional information.

6. Historical Information and Code Maintenance

HCPCS code E1637 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then without any significant changes or updates. The code does not require any maintenance, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

Medicare and insurance coverage for HCPCS code E1637 may vary. The pricing indicator code 57 indicates that the code is priced by other carriers, meaning that the reimbursement rate is determined by individual insurers. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code E1637 should be billed:

1. A patient undergoes a laparoscopic cholecystectomy, and hemostats are used to control bleeding from the cystic artery.
2. A surgeon performs an open reduction and internal fixation of a fractured femur, utilizing hemostats to manage bleeding during the procedure.
3. During a hysterectomy, the gynecologist employs hemostats to control bleeding from the uterine arteries.
4. A patient undergoes a thyroidectomy, and hemostats are utilized to manage bleeding from the thyroid vessels.
5. In a dental extraction procedure, the oral surgeon uses hemostats to control bleeding from the extraction site.