Wiki Mesh supply code

[Lisa Heikes]

I am looking for a HCPCS code for hernia mesh. Someone in the office has said that C1781 is for hospital use only. What do you think?

Thanks for your comments.
Lisa

 

[jodierellis]

I use L8699 for Misc Implants and A4649 for Misc Supplies. For the mesh I would use the A code and submit paper with the invoice and Op attached. We also mark up by a percentage. The coder before me used the "C" codes. I personally think the "C" codes are only for Hospital usage also.

 

[mbort]

I use C1781 as well as many other C codes (C1762, C1713. etc). ASC's are may use these codes as well because they are OPPS. I might add though, that some carriers have their own requirements. We have one that wants us to use 9907O. I would review your contracts for carrier preference. Also note that these C codes as well as L8699 have ASC payment indicators (most have an N1) because Medicare does not pay for implants to ASC's anymore.

 

[codedog]

Mbort is right. I am studying the ASC practicum and yes they have C codes on it.