C7512 Bronch/bpsy(s) w/ ebus

Bronchoscopy, rigid or flexible, with single or multiple bronchial or endobronchial biopsy(ies), single or multiple sites, with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s), including fluoroscopic guidance when performed

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7512

Payer coverage policies that name C7512

C7512 appears in 2 coverage policies from Aetna, Blue Shield of California.

PayerPolicyRole in policyReviewedDocument
AetnaEndoscopic Ultrasonography (0446)covered if criteria are metJul 22, 2026payer document
Blue Shield of CaliforniaEndobronchial Ultrasound for Diagnosis and Staging of Lung Cancer (6.01.58)listed, no stancepayer document

Medicaid fee-for-service

  • AZ: $928.20 (asc), effective Oct 1, 2026
  • IN: $0.00 (professional, facility), effective Jan 1, 2023
  • KS: $840.83 (asc, facility), effective Jan 1, 2023
  • KY: $1655.96 (asc), effective Jan 1, 2026
  • MA: $1201.22 (asc), effective May 1, 2026
  • ND: $976.19 (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.