HCPCS Level II › C codes C7554 Cystureth blu li cyst fl imgCystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent
Medicare coverage: Carrier judgment Status: active (October 2026 file) Medically Unlikely Edits (effective October 1, 2026) Practitioner: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction Outpatient hospital: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction Payer policies and prior authorization for C7554 Payer coverage policies that name C7554 C7554 appears in 1 coverage policy from Anthem.
Payer Policy Role in policy Reviewed Document Anthem Outpatient Cystourethroscopy (CG-SURG-51) covered if criteria are met May 14, 2026 payer document
Medicaid fee-for-service AZ: $548.22 (asc), effective Oct 1, 2026 IN: $0.00 (professional, facility), effective Jan 1, 2023 KS: $504.50 (asc, facility), effective Jan 1, 2023 KY: $978.05 (asc), effective Jan 1, 2026 MA: $720.74 (asc), effective May 1, 2026 ND: $576.56 (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.