Question 1

What is HCPCS code C7500?

Accepted Answer

HCPCS code C7500 is "Deb bone 20 cm2 w/drug dev". Debridement, bone including epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed, first 20 sq cm or less with manual preparation and insertion of deep (e.g., subfacial) drug-delivery device(s)

Question 2

What category is C7500 in?

Accepted Answer

C7500 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7500?

Accepted Answer

Use C7500 when billing for deb bone 20 cm2 w/drug dev. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is C7500 covered by Medicare?

Accepted Answer

Coverage for C7500 (Deb bone 20 cm2 w/drug dev) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for C7500?

Accepted Answer

Documentation for C7500 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).