C7542

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

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

HCPCS ASC Payment Group Effective Date

January 01, 2023

HCPCS Type Of Service Code

2 = Surgery

C7542

Short Description

Procedure Note

HCPCS Coverage Code

HCPCS Action Code

HCPCS Action Effective Date

HCPCS Code Added Date

HCPCS Pricing Indicator Code

HCPCS Multiple Pricing Indicator Code

HCPCS ASC Payment Group Code

HCPCS ASC Payment Group Effective Date

HCPCS Type Of Service Code

HCPCS Anesthesia Base Unit Quantity