HCPCS 2019: C9754 & C9755

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by David Zielske, MD, CIRCC, COC, CCVTC, CCC, CCS, RCC

Question: C9754 & C9755 HCPCS 2019
For 2019, two new HCPCS came out that represent Percutaneous Fistula Creation (Ellipsys). However, there is no information available as to whether the two new codes can be billed together (IN hospital OPPS or ASC Facility as it meets the Pass Through). Do you happen to know any extra information about these two new codes and how they are to be used?

Two innovative developments for dialysis patients became available this year for percutaneous creation of an AV fistula for use in dialysis. Both the Ellipsys Vascular Access System and the everlinQ Vascular Access System received FDA approval in June 2018. A HCPCS II code becomes available January 1, 2019 for each of these with C9754 and C9755 respectively.

The Ellipsys utilizes a single venous access with puncture of the artery via this access to create the AV communication, then, using the device and RF fusion technique the fistula is permanent between the artery and vein. This is considered a “direct” percutaneous approach and is reported with C9754. The everlinQ requires a percutaneous venous and a separate percutaneous arterial access, use of two catheters with a built in magnet to position the catheters, then using RF energy to create the fistula and is reported with C9755.

Both procedures are performed percutaneously, include any ultrasound guidance for vascular access, all arterial and venous angiography, radiologic S & I, angioplasty of involved vessels, and embolization of any branches (which are normally clipped at the time of open surgical creation). These procedures are described by the single codes listed above.

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About the Author

David Zielske is founder and President of ZHealth Publishing and primary author and editor of ZHealth publications. Dr. Z practiced as an interventional radiologist and has over twenty years experience as a coding reviewer and coding expert. He is Board Certified in Radiology and has functioned as an independent interventional radiology, vascular surgery, and cardiovascular coding consultant to a variety of physician groups and hospital providers across the country. He also served as an instructor for over 200 coding seminars.

2 thoughts on “HCPCS 2019: C9754 & C9755

  1. Karen Maloney - December 12, 2018 at 9:14 pm

    I believe code C9755 is for hospital use only, correct? How should the radiologist bill for his services?

    • Libman Education - December 13, 2018 at 11:06 pm

      Hi Karen,

      Thanks for your inquiry. This is definitely a question that Dr. Zielske himself can best answer. He can be reached here: https://zhealthpublishing.com/contacts/

      Have a great week.