C7503 Open exc cerv node(s) w/ id

Open biopsy or excision of deep cervical node(s) with intraoperative identification (e.g., mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7503

Payer coverage policies that name C7503

C7503 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaEndometrial Cancer Screening, Diagnosis, and Prognosis (0769)covered if criteria are metOct 3, 2025payer document
AetnaTumor Scintigraphy (0168)covered if criteria are metMar 27, 2026payer document

Medicaid fee-for-service

  • AZ: $1558.39 (asc), effective Oct 1, 2026
  • IN: $0.00 (professional, facility), effective Jan 1, 2023
  • KS: $1433.30 (asc, facility), effective Jan 1, 2023
  • KY: $2780.27 (asc), effective Jan 1, 2026
  • MA: $2047.63 (asc), effective May 1, 2026
  • ND: $1638.97 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.