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)
Short descriptor: Insrt vent pm w/l vent lead
Look up C7538 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
C7538 is the HCPCS Level II code for 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) (2026). It belongs to Section C — Outpatient PPS (Hospital). Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Priced using national RVUs (physician fee schedule).
Classification & CMS Attributes
- Section
- C: Outpatient PPS (Hospital)
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Priced using national RVUs (physician fee schedule) (indicator 11)
- Type of Service
- Surgery
- Effective Date
- 2023-01-01
- 2026 Maintenance
- No change this year
References
Cite This Page
Reference C7538 with the canonical source and edition:
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). ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/C7538
Canonical URL: https://icd10codingpro.com/hcpcs-codes/C7538