Question 1

What is HCPCS code C1607?

Accepted Answer

HCPCS code C1607 is "Neurostim integ rechg". Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system

Question 2

What category is C1607 in?

Accepted Answer

C1607 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C1607?

Accepted Answer

Use C1607 when billing for neurostim integ rechg. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C1607 covered by Medicare?

Accepted Answer

Coverage for C1607 (Neurostim integ rechg) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C1607?

Accepted Answer

Documentation for C1607 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).