Question 1

What is HCPCS code C7503?

Accepted Answer

HCPCS code C7503 is "Open exc cerv node(s) w/ id". Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed

Question 2

What category is C7503 in?

Accepted Answer

C7503 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7503?

Accepted Answer

Use C7503 when billing for open exc cerv node(s) w/ id. 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 C7503 covered by Medicare?

Accepted Answer

Coverage for C7503 (Open exc cerv node(s) w/ id) 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 C7503?

Accepted Answer

Documentation for C7503 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).