Summary & Overview
HCPCS C1727: Catheter, Balloon Tissue Dissector, Non-Vascular
HCPCS Level II code C1727 identifies a non-vascular, insertable catheter with a balloon tissue dissector used to mechanically separate soft tissue layers during minimally invasive procedures. Nationally, device-specific HCPCS codes like C1727 matter because they guide hospital and facility supply billing, support device-level tracking, and affect facility fee reporting across payers.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what C1727 represents clinically and operationally, typical sites of service where the device is used, and the payer landscape relevant to facility supply billing. The publication outlines benchmark considerations for facility billing lines, common modifier usage (listed separately), and clinical context for when a balloon tissue dissector would be utilized during soft-tissue procedures.
This summary equips billing managers, revenue cycle staff, and clinical administrators with the core facts about HCPCS Level II code C1727, what to expect in claims processing for device supply lines, and where to look for payer-specific coverage policies and billing guidance. Data not available in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code C1727 describes a catheter, balloon tissue dissector, non-vascular (insertable). This device is used to mechanically separate or dissect soft tissue layers using an inflatable balloon delivered via an insertable catheter.
Service Type: Procedural device for soft-tissue dissection
Typical Site of Service: Operating room or ambulatory surgical center, where minimally invasive soft-tissue dissection procedures are performed under appropriate surgical conditions.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with symptomatic benign prostatic hyperplasia (BPH) presents for minimally invasive transurethral tissue dissection. The urology team schedules the procedure in an outpatient ambulatory surgery center. Under monitored anesthesia care or light general anesthesia, cystoscopic guidance is used to insert a C1727 balloon tissue dissector (non-vascular, insertable) through the urethra to mechanically dissect obstructing prostatic tissue and create channels for improved urinary flow. The clinical workflow includes preoperative evaluation and consent, cystoscopy, insertion and inflation of the balloon dissector to separate tissue planes, targeted tissue removal or ablation as indicated, hemostasis, catheter placement if required, post-anesthesia recovery, and same-day discharge with outpatient follow-up for symptom assessment and catheter removal if applicable.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Unspecified | Rarely used; typically not reported for this device-specific supply |
22 | Increased procedural services |