HCPCS code C7546 — Rep nph/urt cath w/dil stric. Status: Active. Effective Jan 1, 2025. Source: CMS HCPCS Level II.

C7546

Active

Rep nph/urt cath w/dil stric

Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, with ureteral stricture balloon dilation, including imaging guidance and all associated radiological supervision and interpretation

Category: Outpatient PPS
Section: C-codes: Outpatient PPS
Effective: Jan 1, 2025
Code type: alphanumeric
OPPS Status: E1 — Items / services not paid by Medicare

MUE — Medically Unlikely Edits

Maximum units of C7546 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.

  • New Code 2025-Q1
    Rep nph/urt cath w/dil stric