C7543

Short Description

• Ercp w/otomy, pancreatoscopy

Procedure Note

• 0229 = THESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• A = Add procedure or modifier code

HCPCS Action Effective Date

• January 01, 2023

HCPCS Code Added Date

• January 01, 2023

HCPCS Pricing Indicator Code

• 11 = Price established using national RVU’s

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS ASC Payment Group Code

• YY

HCPCS ASC Payment Group Effective Date

• January 01, 2023

HCPCS Type Of Service Code

• 2 = Surgery

HCPCS Anesthesia Base Unit Quantity

• 0