Table of content for "Ercp w/bx & pancreatoscopy" (HCPCS C7542)
General information on the “C7542” code
HCPCS Code: C7542
Long Description: Endoscopic retrograde cholangiopancreatography (ercp) with biopsy, single or multiple, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)
Short Description: Ercp w/bx & pancreatoscopy
Original information is taken from C7542 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
Type of service
Processing Note Number: 0229
Berenson-Eggers Type of Service (BETOS): P8B – Endoscopy - upper gastrointestinal
Type Of Service 1: 2 – Surgery
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20230101
Code Effective Date: 20240101
Action Code: N – No maintenance for this code