C1761- Cath, trans intra litho/coro

kay.larsen@ah.orgkay.larsen@ah.org
in BILLING AND CLAIMS

We do Coronary Intravascular Lithotripsy (IVL) and we also do Peripheral Intravascular Lithotripsy (IVL) Our physicians select the C1761 catheter for both. Unfortunately, for the Peripheral IVL, we hit a bill edit saying C1761 is missing the appropriate procedure because we don't have any of the procedures that are a match to C1761.

Since we're using the C1761 for a different purpose, can we use another C-Code? The vendor recommended C1725, which is appropriate for Peripheral IVL. Do we have to report C1761 because of the device used or can we report C1725 for how it was used?

Thanks!

Comments

  • goodjegoodje

    Another option might be to strip the HCPC entirely, and just report the 0272 revenue code w/o a HCPC.

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