hcpcs data

C7549

Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

Medicare: Carrier judgmentC seriesAdded January 01, 2023

What C7549 means

C7549 (Chge urtr stent w/ dil stric) belongs to the HCPCS Level II C series (Outpatient Prospective Payment System (OPPS)). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Price established using national RVU's.

Code details

Short description
Chge urtr stent w/ dil stric
Coverage code
C = Carrier judgment
Pricing indicator
11 = Price established using national RVU's
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
2 = Surgery
Action code
N = No maintenance for this code
Action effective date
January 01, 2025
Code added date
January 01, 2023
Data year
2026

Questions about C7549

What is HCPCS code C7549?

HCPCS code C7549 is a Level II code in the C series (Outpatient Prospective Payment System (OPPS)). Its full description is: "Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation, including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"

Is C7549 a CPT code?

No. C7549 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code C7549?

The Medicare coverage code for C7549 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code C7549 added?

C7549 was added to the HCPCS code set on January 01, 2023. The most recent action on it (No maintenance for this code) took effect on January 01, 2025.

All C codes