Question 1

What is HCPCS code C7512?

Accepted Answer

HCPCS code C7512 is "Bronch/bpsy(s) w/ ebus". Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed

Question 2

What category is C7512 in?

Accepted Answer

C7512 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7512?

Accepted Answer

Use C7512 when billing for bronch/bpsy(s) w/ ebus. 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 C7512 covered by Medicare?

Accepted Answer

Coverage for C7512 (Bronch/bpsy(s) w/ ebus) 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 C7512?

Accepted Answer

Documentation for C7512 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).