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HCPCS Level II · Outpatient PPS (temporary codes)

C7543Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)

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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.

About C7543

C7543 is an HCPCS Level II code in the C series (outpatient PPS (temporary codes)), describing endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s).

It was added to HCPCS effective 01/01/2023, and its current record took effect 01/01/2024.

Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.

Details

Short description
Ercp w/otomy, pancreatoscopy
Date added
01/01/2023
Action effective
01/01/2024
BETOS
P8B

Related C75xx codes

Common questions about C7543

Is HCPCS C7543 still valid?

Yes. C7543 is active in the CMS October 2026 HCPCS file.

Does Medicare cover C7543?

Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.