Table of content for "Insrt vent pm w/l vent lead" (HCPCS C7538)
General information on the “C7538” code
HCPCS Code: C7538
Long Description: Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defribrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system)
Short Description: Insrt vent pm w/l vent lead
Original information is taken from C7538 page
Pricing indicators
Pricing Indicator Code 1: 11 – Price established using national rvu's. Linked To The Physician Fee Schedule.
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
ASC Payment Group: YY
ASC Payment Group Effective Date: 20230101
Type of service
Processing Note Number: 0229
Berenson-Eggers Type of Service (BETOS): P2E – Major procedure, cardiovascular-Pacemaker insertion
Type Of Service 1: 2 – Surgery
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20230101
Action Code: N – No maintenance for this code