C7545

Percutaneous exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), with removal of calculi/debris from biliary duct(s) and/or gallbladder, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, including diagnostic cholangiography(ies) when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

Short Description

Exch bil cath w/ rmv calculi

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

C = Carrier judgment

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