C1761- Cath, trans intra litho/coro
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!
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Another option might be to strip the HCPC entirely, and just report the 0272 revenue code w/o a HCPC.
Kay, this must have come up before as per the manufacturer, C1725 is suggested as you noted above: https://shockwavemedical.com/reimbursement/peripheral-ivl/. "There is no IVL-specific supply code for our peripheral IVL catheters. Generally, it is recommended to use C1725 – Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability), for reporting purposes."
This makes sense because the description of C1761 – Catheter, transluminal intravascular lithotripsy, coronary is specific to "coronary."
The link above provides info on coding for the procedures as well.
Hope this helps!