C7565 : HCPCS Code (2025) : JSON

C7565 : Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair ( Rpr aa hrn < 3 rdc w/ rmvl )

HCPCS Code : C7565 – JSON Data Format

                    
{
  "HCPCS": {
    "HCPC": "C7565",
    "LongDescription": "Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (i.e., open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s) less than 3 cm, reducible with removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair",
    "ShortDescription": "Rpr aa hrn < 3 rdc w/ rmvl",
    "PricingIndicators": {
      "PricingIndicator": {
        "PricingIndicatorName": "99",
        "PricingIndicatorCode": "Value not established"
      }
    },
    "MPI": "9",
    "MultiplePricingIndicatorCode": "Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')",
    "CIMs": null,
    "MCMs": "",
    "Statute": "1833(t)",
    "LabCertifications": null,
    "XReferences": null,
    "Coverage": "D",
    "CoverageDescription": "Special coverage instructions apply",
    "ASCPayGrp": "YY",
    "ASCPayGrpEffDate": "20250101",
    "MOGPayGrp": null,
    "MOGPaymentGroupCode": null,
    "MOGPayInd": null,
    "MOGPaymentPolicyIndicator": null,
    "MOGEffDate": null,
    "ProcNote": null,
    "BETOS": "P1G",
    "BETOSDescription": "Major procedure - Other",
    "TypeOfServices": {
      "TypeOfService": {
        "TOS": "2",
        "TypeOfServiceCode": "Surgery"
      }
    },
    "AnestBaseUnits": "0",
    "CodeAddDate": "20250101",
    "ActionEffDate": "20250101",
    "TermDate": null,
    "ActionCode": "N",
    "ActionCodeDescription": "No maintenance for this code"
  }
}