Question 1

What is HCPCS code C2596?

Accepted Answer

HCPCS code C2596 is "Probe, robotic, water-jet". Probe, image-guided, robotic, waterjet ablation

Question 2

What category is C2596 in?

Accepted Answer

C2596 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C2596?

Accepted Answer

Use C2596 when billing for probe, robotic, water-jet. 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

What ICD-10 codes are commonly used with C2596?

Accepted Answer

Common ICD-10 diagnosis codes used with C2596 include: N40.1 (Benign prostatic hyperplasia with lower urinary tract symptoms). Always ensure proper medical documentation supports the medical necessity for the HCPCS code being billed.

Question 5

Is C2596 covered by Medicare?

Accepted Answer

Coverage for C2596 (Probe, robotic, water-jet) 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 6

What documentation is required for C2596?

Accepted Answer

Documentation for C2596 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).