Q: What category is C7565 in?

C7565 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Q: When should I use HCPCS code C7565?

Use C7565 when billing for rpr aa hrn < 3 rdc w/ rmvl. 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.

Q: Is C7565 covered by Medicare?

Coverage for C7565 (Rpr aa hrn < 3 rdc w/ rmvl) 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.

Q: What documentation is required for C7565?

Documentation for C7565 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).

Question 1

What is HCPCS code C7565?

Accepted Answer

HCPCS code C7565 is "Rpr aa hrn < 3 rdc w/ rmvl". Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair

Question 2

What category is C7565 in?

Accepted Answer

C7565 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7565?

Accepted Answer

Use C7565 when billing for rpr aa hrn < 3 rdc w/ rmvl. 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 C7565 covered by Medicare?

Accepted Answer

Coverage for C7565 (Rpr aa hrn < 3 rdc w/ rmvl) 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 C7565?

Accepted Answer

Documentation for C7565 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).