Question 1

What is HCPCS code C7560?

Accepted Answer

HCPCS code C7560 is "Ercp remove forgn body&endo". Endoscopic retrograde cholangiopancreatography (ercp) with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) and endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s)

Question 2

What category is C7560 in?

Accepted Answer

C7560 belongs to HCPCS Category C (CMS Hospital Outpatient Payment).

Question 3

When should I use HCPCS code C7560?

Accepted Answer

Use C7560 when billing for ercp remove forgn body&endo. 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 C7560 covered by Medicare?

Accepted Answer

Coverage for C7560 (Ercp remove forgn body&endo) 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 C7560?

Accepted Answer

Documentation for C7560 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).