C7541 Ercp w/ pancreatoscopy

Diagnostic endoscopic retrograde cholangiopancreatography (ercp), including collection of specimen(s) by brushing or washing, when performed, with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7541

Payer coverage policies that name C7541

C7541 appears in 3 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaDouble Balloon Enteroscopy (0737)listed, no stanceNov 13, 2025payer document
AetnaMagnetic Resonance Cholangiopancreatography (0384)listed, no stanceJun 25, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range C7541-C7544)Jul 23, 2026payer document

Medicaid fee-for-service

  • IN: $0.00 (professional, facility), effective Jan 1, 2023
  • KS: $1352.47 (asc, facility), effective Jan 1, 2023
  • ND: $0.00 (physician), 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.