HCPCS code C7507 — Perq thor&lumb vert aug.
Status: Active.
Effective Jan 1, 2023.
Source: CMS HCPCS Level II.
C7507
ActivePerq thor&lumb vert aug
Percutaneous vertebral augmentations, first thoracic and any additional thoracic or lumbar vertebral bodies, including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (e.g., kyphoplasty), unilateral or bilateral cannulations, inclusive of all imaging guidance
Category:
Outpatient PPS
Section:
C-codes: Outpatient PPS
Effective:
Jan 1, 2023
Code type:
alphanumeric
OPPS Status:
E1
— Items / services not paid by Medicare
MUE — Medically Unlikely Edits
Maximum units of C7507 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
Change History
Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.
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New Code 2023-Q1Perq thor&lumb vert aug