Summary & Overview
HCPCS C1750: Catheter for Hemodialysis/Peritoneal, Long-Term
HCPCS Level II code C1750 identifies a long-term catheter used for hemodialysis or peritoneal dialysis. This code is important nationally because long-term dialysis catheters are integral to chronic kidney disease management, impacting durable medical equipment supply, outpatient dialysis workflows, and hospital outpatient billing. Appropriate coding affects device tracking, reimbursement classification, and claims processing across diverse payer types.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of where C1750 applies clinically, typical sites of service, and payer coverage considerations. The publication summarizes national benchmarks and policy context related to long-term dialysis access device billing, highlights common billing modifiers and payer-specific considerations, and provides clinical context relevant to dialysis providers and billing professionals. Where specific payer policy or payment rates are not provided in the input, the publication notes that data is not available in the input and focuses on the code’s clinical and billing role. This resource is intended for revenue cycle leaders, dialysis clinic administrators, and clinicians involved in durable medical equipment provisioning and claims submission for dialysis access devices.
Billing Code Overview
HCPCS Level II code C1750 describes a catheter for hemodialysis or peritoneal dialysis intended for long-term use. The service type is dialysis access device supply and management, supporting continuous vascular or peritoneal access required for chronic dialysis therapies. The typical site of service for items billed under this code is hospital outpatient departments, dialysis centers, and ambulatory surgical centers where long-term dialysis access devices are placed, maintained, or replaced.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with end-stage renal disease (ESRD) requires long-term vascular access for hemodialysis. The patient presents to an outpatient interventional radiology suite after failure of a tunneled arteriovenous fistula and repeated difficult peripheral access. The interventional team places a tunneled, cuffed hemodialysis catheter under fluoroscopic guidance with local anesthesia and moderate sedation. The clinical workflow includes pre-procedure history and medication review, informed consent, ultrasound-guided venous access (typically internal jugular vein), catheter tunneling and cuff placement, confirmation of catheter tip position with fluoroscopy, sterile dressing application, and post-procedure monitoring for complications such as bleeding, pneumothorax, or catheter-related infection. Post-procedure documentation includes catheter type and length, laterality, lumen configuration, confirmation of flow adequacy, and discharge instructions with dialysis scheduling.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work, time, or complexity substantially exceeds usual for catheter placement and documentation supports increased resources. |
51 | Multiple procedures |