C1885 Transluminal Laser Angioplasty HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS C1885: Catheter for Transluminal Angioplasty, Laser

HCPCS Level II code C1885 denotes a catheter specifically designed for transluminal angioplasty using laser energy. Nationally, device-specific HCPCS codes matter for hospital outpatient and ambulatory surgery billing, device reimbursement, and accurate claims reporting for endovascular procedures. This code identifies a specialized interventional device used during endovascular laser angioplasty procedures.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for laser-assisted transluminal angioplasty, typical sites of service where the device is used, and common billing considerations tied to device-specific HCPCS Level II coding. The publication outlines benchmark topics such as payer coverage patterns, reimbursement considerations for device-billed services, and potential policy updates affecting device codes. Clinical context includes the role of laser catheters in lesion modification and revascularization during minimally invasive vascular procedures.

Where input data is incomplete, the publication notes missing elements: associated taxonomies, ICD-10 diagnoses, related codes, and detailed payer-specific coverage determinations are not available in the input. The piece serves as a concise reference for coding, billing, and clinical stakeholders seeking a national-level summary of HCPCS Level II code C1885.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareC1885HCPCS Level IIangioplastylaser catheterendovasculardevice codinghospital outpatientambulatory surgery

Billing Code Overview

HCPCS Level II code C1885 describes a catheter used for transluminal angioplasty with laser. This device is intended for use during endovascular procedures that employ laser energy to perform transluminal angioplasty, facilitating revascularization or lesion modification within blood vessels.

Service Type: Transluminal angioplasty with laser catheter

Typical Site of Service: Hospital outpatient department or ambulatory surgery center, and may also be used in inpatient interventional suites depending on clinical need and care setting.

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A 68-year-old patient with peripheral arterial disease presents with lifestyle-limiting claudication and an angiographic lesion of the superficial femoral artery characterized by focal stenosis with subacute recoil despite prior balloon angioplasty. The vascular surgery or interventional radiology team schedules a transluminal laser angioplasty using a laser atherectomy catheter to ablate organized plaque and improve vessel lumen before adjunctive balloon angioplasty and possible stent placement. The clinical workflow includes pre-procedure vascular imaging (duplex ultrasound and diagnostic angiography), informed consent, percutaneous arterial access (commonly common femoral artery), intraprocedural angiography, placement of the C1885 laser catheter for plaque ablation, repeat angioplasty and/or stent deployment as indicated, hemostasis of the access site, post-procedure monitoring for access complications, and outpatient follow-up with antiplatelet therapy and wound/vascular surveillance.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	Use when the transluminal laser angioplasty requires substantially greater work than typical due to complexity (extensive calcification, long lesion length).

HCPCS Level II C9793: 3D Predictive Model for Cardiac Procedure Pre‑planning

HCPCS-C9087-CYCLOPHOSPHAMIDE-INJECTION-10MG

HCPCS Level II C9087: Injection, Cyclophosphamide (auromedics), 10 mg

HCPCS-C8003-MEDIAL-KNEE-EXTRAARTICULAR-IMPLANTABLE-SHOCK-ABSORBER

HCPCS C8003: Medial Knee Extraarticular Implantable Shock Absorber

HCPCS-C9161-AFLIBERCEPT-INJECTION-1MG-INTRAVITREAL

HCPCS Level II C9161: Injection, aflibercept hd, 1 mg

HCPCS-C2698-BRACHYTHERAPY-STRANDED-SOURCE-PER-SOURCE

HCPCS C2698: Brachytherapy Stranded Source, Per Source

HCPCS-C1782-MORCELLATOR-SURGICAL-INSTRUMENT

HCPCS Level II C1782: Morcellator, Surgical Instrument

HCPCS-C1886-EXTRAVASCULAR-TISSUE-ABLATION-CATHETER

HCPCS C1886: Catheter for Extravascular Tissue Ablation, Insertable

HCPCS-C1729-CATHETER-DRAINAGE-SUPPLY

HCPCS C1729: Catheter, Drainage

HCPCS-C9361-COLLAGEN-NERVE-WRAP-NEUROMEND-0-5CM

HCPCS Level II C9361: Collagen Matrix Nerve Wrap (Neuromend), per 0.5 cm

HCPCS-C9044-CEMIPLIMAB-INJECTION-1MG

HCPCS C9044: Injection, cemiplimab-rwlc, 1 mg

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Taxonomy Code	Specialty	Notes
`207RX0400X`	Vascular Surgery	Primary specialty performing peripheral vascular interventions, including laser atherectomy.
`207T00000X`	Interventional Cardiology	Performs endovascular peripheral interventions in hybrid labs.
`2086S0102X`	Interventional Radiology	Common provider for image-guided transluminal laser angioplasty.
`363L00000X`	Vascular Medicine	Medical specialists who may coordinate pre- and post-procedure vascular care.
`207K00000X`	General Surgery	May perform peripheral endovascular procedures in some practices.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`I70.219`	Atherosclerosis of native arteries of extremities, unspecified extremity, with intermittent claudication	Typical indication for transluminal laser angioplasty to treat symptomatic peripheral arterial stenosis.
`I70.213`	Atherosclerosis of native arteries of right leg with rest pain	Laser plaque modification may be used when endovascular treatment is indicated for critical limb ischemia.
`I70.214`	Atherosclerosis of native arteries of left leg with rest pain	Same clinical relevance for left-sided critical limb ischemia requiring revascularization.
`I70.229`	Atherosclerosis of native arteries of extremities, unspecified extremity, with gangrene	Used in severe limb-threatening ischemia where laser atherectomy may be adjunctive to restore perfusion prior to wound care.
`I70.201`	Atherosclerosis of native arteries of extremities, unspecified extremity, without claudication or rest pain	May describe arterial disease requiring intervention if progressive or limiting other therapies.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`37220`	Revascularization, endovascular, open or percutaneous, infrainguinal, initial vessel; thrombolysis or mechanical thrombectomy	Diagnostic or therapeutic endovascular revascularization often performed in the same session for acute occlusion or adjunctive treatment.
`37224`	Revascularization, endovascular, open or percutaneous, infrainguinal, including angioplasty, stent placement, when performed; one tibial/peroneal vessel	Commonly performed after laser plaque modification to achieve durable lumen gain in infrainguinal segments.
`37225`	Revascularization, endovascular, open or percutaneous, infrainguinal, each additional tibial/peroneal vessel	Use when additional tibial vessels are treated during the same session following laser angioplasty.
`36147`	Introduction of catheter, arterial, for performance of diagnostic angiography, including radiological supervision and interpretation, when performed; percutaneous, femoral or brachial	Access and diagnostic angiography are performed prior to laser angioplasty to define lesion anatomy.
`75960`	Angiography, peripheral, radiological supervision and interpretation	Used for the diagnostic angiographic imaging that guides laser catheter placement and assesses results.

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