Abbott Vascular Product C-Codes
Effective January 1, 2005, hospitals are required to use Medicare C-codes when billing for devices used in the outpatient setting. Requiring the use of C-codes to identify devices used in conjunction with procedures paid for under OPPS will greatly improve the quality of claims data Medicare uses to establish APC payments in the future. The full list of C-codes can be found on the CMS website
Medicare has established outpatient coding edits dictating which specific C-codes should be billed with which CPT procedure code. The list of coding edits is not all-inclusive and Medicare will add edits to the list on a quarterly basis in conjunction with the quarterly Outpatient Coding Editor (OCE) release. Providers should consult with their payers regarding appropriate documentation, medical necessity and coding information consistent with individual payer requirements and policies.
The following is an abbreviated list of C-codes, relevant to Abbott Vascular products.
For a list of Abbott Vascular products and their associated C-Codes, please click here: C-code listing by product
|C-Code||Medicare Description of the C-Code|
|C1725||Catheter, Transluminal, Angioplasty, Non-laser
(May include Guidance, Infusion/Perfusion Capability)
|C1760||Closure Device, Vascular (Implantable/Insertable)|
|C1874||Stent, Coated/Covered, With Delivery System|
|C1875||Stent, Coated/Covered, Without Delivery System|
|C1876||Stent, Non-coated/Non-covered With Delivery System|
|C1877||Stent, Non-coated/Non-covered Without Delivery System|
|C1884*||Embolization Protective System|
|C1885||Catheter, Transluminal Angioplasty, Laser|
|C1887||Catheter, Guiding (May Include Infusion/Perfusion Capability)|
For a description of the interventional cardiology products we sell, please click here: Abbott Vascular Products
*Carotid artery stent implantation is an inpatient only procedure for Medicare coverage. The C-code is used primarily for internal charging to capture the cost of the embolic protection system.
References: HCPCS Release and Code Sets, 2012 Alpha-Numeric HCPCS Downloads accessed on October 1, 2012 from http://www.cms.hhs.gov/HCPCSReleaseCodeSets/ANHCPCS/list.asp
Questions about reimbursement for Abbott Vascular Products?
Contact the Reimbursement Hotline: 800 354 9997 Questions@AskAbbottVascular.com.
Last Updated: November 2015
Disclaimer: The information provided in this document was obtained from third-party sources and is subject to change without notice as a result of changes in reimbursement laws, regulations, rules, policies, and payment amounts. All content is informational only, general in nature, and does not cover all situations or all payers’ rules and policies. It is the responsibility of the hospital or physician to determine appropriate coding for a particular patient and/or procedure. Any claim should be coded appropriately and supported with adequate documentation in the medical record. A determination of medical necessity is a prerequisite that Abbott Vascular assumes will have been made prior to assigning codes or requesting payments. Any codes provided are examples of codes that specify some procedures or which are otherwise supported by prevailing coding practices. They are not necessarily correct coding for any specific procedure using Abbott Vascular’s products.
Hospitals and physicians should consult with appropriate payers, including Medicare Administrative Contractors, for specific information on proper coding, billing, and payment levels for healthcare procedures. Abbott Vascular makes no express or implied warranty or guarantee that (i) the list of codes and narratives in this document is complete or error-free, (ii) the use of this information will prevent difference of opinions or disputes with payers, (iii) these codes will be covered [or (iv) the provider will receive the reimbursement amounts set forth herein]. Reimbursement policies can vary considerably from one region to another and may change over time.
The FDA-approved/cleared labeling for all products may not be consistent with all uses described herein. This web page is in no way intended to promote the off-label use of medical devices. The content is not intended to instruct hospitals and/or physicians on how to use medical devices or bill for healthcare procedures.
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