How To Use HCPCS Code C7522

HCPCS code C7522 describes the procedure of catheter placement in the coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress. This code falls under the category of enteral/parenteral nutrients/supplies and has a special coverage instruction. It was added to the Healthcare Common Procedure Coding System on January 01, 1985, and has been priced by other carriers. Let’s dive deeper into the details of HCPCS code C7522.

1. What is HCPCS C7522?

HCPCS code C7522 is used to identify the procedure of catheter placement in the coronary artery(ies) for coronary angiography, including various components such as intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, and intravascular doppler velocity and/or pressure derived coronary flow reserve measurement. This code specifically refers to the initial coronary vessel or graft during coronary angiography, including pharmacologically induced stress.

2. Official Description

The official description of HCPCS code C7522 is “Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with right heart catheterization, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. The procedure begins with the placement of a catheter in the coronary artery(ies) for coronary angiography.
2. Intraprocedural injection(s) are administered for coronary angiography.
3. Imaging supervision and interpretation are performed using right heart catheterization.
4. Intravascular doppler velocity and/or pressure derived coronary flow reserve measurement is conducted.
5. This procedure specifically focuses on the initial coronary vessel or graft during coronary angiography, including pharmacologically induced stress.

4. When to use HCPCS code C7522

HCPCS code C7522 should be used when performing the specific procedure described above. It is important to ensure that all the components mentioned in the official description are included in the service provided. This code is typically used for patients who require coronary angiography and additional measurements to assess the flow reserve of the coronary vessels or grafts.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code C7522, healthcare providers need to document the details of the procedure performed, including the catheter placement, intraprocedural injections, imaging supervision and interpretation, and the measurement of coronary flow reserve. It is crucial to include the specific coronary vessel or graft that was assessed during the procedure. Proper documentation ensures accurate billing and reimbursement for the services provided.

6. Historical Information and Code Maintenance

HCPCS code C7522 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has been priced by other carriers, indicating that it is not applicable under a specific pricing methodology.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the procedure described by HCPCS code C7522. The pricing indicator code 57 suggests that the service or supply is priced by other carriers. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. It is important to verify coverage and reimbursement policies with the respective insurance providers to ensure proper billing and reimbursement.

8. Examples

Here are some examples of scenarios where HCPCS code C7522 may be billed:

1. A patient with suspected coronary artery disease undergoes coronary angiography with intravascular doppler velocity and pressure derived coronary flow reserve measurement.
2. A patient with a coronary artery graft undergoes coronary angiography with imaging supervision and interpretation using right heart catheterization.
3. A patient with pharmacologically induced stress undergoes coronary angiography with intraprocedural injections for coronary angiography.
4. A patient with a history of coronary artery stenosis undergoes coronary angiography with intravascular doppler velocity and pressure derived coronary flow reserve measurement.
5. A patient with suspected coronary microvascular dysfunction undergoes coronary angiography with imaging supervision and interpretation using right heart catheterization.