Question 1

What is HCPCS code C7563?

Accepted Answer

HCPCS code C7563 is "Trluml ballo angiop all art". Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit), open or percutaneous, including all imaging and radiological supervision and interpretation necessary to perform the  angioplasty within the same artery, initial artery and all additional arteries

Question 2

What category is C7563 in?

Accepted Answer

C7563 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7563?

Accepted Answer

Use C7563 when billing for trluml ballo angiop all art. 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 C7563 covered by Medicare?

Accepted Answer

Coverage for C7563 (Trluml ballo angiop all art) 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 C7563?

Accepted Answer

Documentation for C7563 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).