Question 1

What is HCPCS code C7509?

Accepted Answer

HCPCS code C7509 is "Dx bronch w/ navigation". Bronchoscopy, rigid or flexible, diagnostic with cell washing(s) when performed, with computer-assisted image-guided navigation, including fluoroscopic guidance when performed

Question 2

What category is C7509 in?

Accepted Answer

C7509 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7509?

Accepted Answer

Use C7509 when billing for dx bronch w/ navigation. 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 C7509 covered by Medicare?

Accepted Answer

Coverage for C7509 (Dx bronch w/ navigation) 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 C7509?

Accepted Answer

Documentation for C7509 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).