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 a 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.
For additional Healthcare Economics and Reimbursement Tools, please visit the Customer Solutions Center.
Last Updated: September 2014
Disclaimer: The information provided on this website was obtained from third-party sources and is subject to change without notice, as a result of changes in reimbursement laws, regulations, rules and policies. All content on this website is informational only, general in nature and does not cover all situations or all payers' rules and policies. This content is not intended to instruct medical providers on how to use or bill for healthcare procedures including new technologies outside of Medicare national guidelines. A determination of medical necessity is a prerequisite that Abbott Vascular assumes will have been made prior to assigning codes or requesting payments. Medical providers should consult with appropriate payers, including Medicare fiscal intermediaries and carriers, for specific information on proper coding, billing and payment levels for healthcare procedures.
This website represents no promise or guarantee by Abbott Vascular regarding coverage, coding, billing and payment levels. Abbott Vascular specifically disclaims liability or responsibility for the results or consequences of any actions taken in reliance on information on this website.
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