Question 1

What is HCPCS code C7533?

Accepted Answer

HCPCS code C7533 is "Ptca w/ plcmt brachytx dev". Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy

Question 2

What category is C7533 in?

Accepted Answer

C7533 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7533?

Accepted Answer

Use C7533 when billing for ptca w/ plcmt brachytx 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 C7533 covered by Medicare?

Accepted Answer

Coverage for C7533 (Ptca w/ plcmt brachytx 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 C7533?

Accepted Answer

Documentation for C7533 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).