Question 1

What is HCPCS code C7567?

Accepted Answer

HCPCS code C7567 is "Bronch/needle bx(s) w/ nav". Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted image-guided naviagation

Question 2

What category is C7567 in?

Accepted Answer

C7567 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7567?

Accepted Answer

Use C7567 when billing for bronch/needle bx(s) w/ nav. 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 C7567 covered by Medicare?

Accepted Answer

Coverage for C7567 (Bronch/needle bx(s) w/ nav) 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 C7567?

Accepted Answer

Documentation for C7567 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).