Summary & Overview
HCPCS C7562: Coronary Angiography with Intraprocedural FFR and 3D Mapping
HCPCS Level II code C7562 denotes a comprehensive coronary angiography procedure that combines catheter placement in the coronary arteries with right and left heart catheterization, left ventriculography when performed, and intraprocedural coronary fractional flow reserve (FFR) measurement with 3D color-coded FFR mapping derived from angiographic data. Nationally, this code captures advanced physiologic assessment used to identify flow-limiting coronary stenoses and guide real-time interventional decision-making, reflecting growing emphasis on physiology-guided coronary care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical service represented by the code, the typical site of service, and the major payers relevant to coverage and billing. The publication outlines benchmark concepts and policy context most relevant to this advanced diagnostic and imaging service, including how the code maps to service lines and procedural settings. Data limitations where input was not provided are noted as “Data not available in the input.”
Billing Code Overview
HCPCS Level II code C7562 describes catheter placement in coronary artery(s) for coronary angiography with intraprocedural injections for coronary angiography and imaging supervision and interpretation. The code specifically includes right and left heart catheterization with intraprocedural injections for left ventriculography when performed together with intraprocedural coronary fractional flow reserve (FFR) and 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data for real-time review and interpretation of possible atherosclerotic stenoses.
Service type: Combined diagnostic coronary angiography with hemodynamic assessment and advanced 3D FFR mapping.
Typical site of service: Hospital-based cardiac catheterization laboratory (inpatient or outpatient) or ambulatory surgical center equipped for cardiac catheterization and intraprocedural physiologic assessment.
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A 62-year-old male with progressive exertional angina and known multivessel coronary artery disease presents for invasive coronary angiography with physiologic lesion assessment. The patient has unstable angina despite medical therapy and noninvasive ischemia testing suggestive of ischemia in the left anterior descending distribution. The interventional cardiology team performs right and left heart catheterization with selective coronary catheter placement and intraprocedural contrast injections for angiographic visualization. During the procedure, intracoronary fractional flow reserve (ffr) is derived in real time using 3D functional mapping of color-coded ffr values generated from the coronary angiogram data to evaluate the physiologic significance of intermediate stenoses and guide decision-making for potential percutaneous coronary intervention.
The clinical workflow includes pre-procedure consent and review of anticoagulation, vascular access site selection (usually femoral or radial), arterial sheath placement, selective coronary cannulation and angiography, left ventriculography if indicated, hemodynamic measurements from right and left heart catheterization, generation and interpretation of ffr maps, and documentation of findings and plans for revascularization if required. Typical monitoring and recovery occur in an outpatient or inpatient catheterization laboratory setting with post-procedure observation for access-site complications and hemodynamic stability.
Coding Specifications
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