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HCPCS codes / C / C7501

C7501

Percutaneous breast biopsies using stereotactic guidance, with placement of breast localization device(s) (e.g., clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, all lesions unilateral and bilateral (for single lesion biopsy, use appropriate code)

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
P1A
Pricing indicator
11
Effective date
20230101
CMS processing noteTHESE CODES ARE USED ONLY UNDER THE ASC PAYMENT SYSTEM. REFER TO THE 2023 OPPS/ASC FINAL RULE AND THE DISCUSSION ON THE ASC SPECIAL PAYMENT POLICY FOR OPPS COMPLEXITY-ADJUSTED C-APCs FOR MORE INFORMATION.
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.