HCPCS codes / C / C7538
C7538
Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s), with insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (e.g., for upgrade to dual chamber system)
- Code type
- HCPCS Level II
- Coverage
- Special coverage instructions
- BETOS category
- P2E
- 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.