Outpatient Prospective Payment System (hospital outpatient)

C7557 — Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention

HCPCS code C7557 is used on U.S. medical bills for outpatient prospective payment system (hospital outpatient): Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention.

  • Typical setting: Hospital outpatient
  • National avg charge (illustrative): OPPS payments — review the Medicare APC weight if you are on Medicare.
  • Most-disputed reason: Unbundling

What it means

What C7557 actually means

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention.

The official CMS HCPCS Level II descriptor for this code is shown above. If the description on your bill does not match the service you actually received, that is a reason to ask for the itemized bill and dispute the line.

Common errors with this code

What goes wrong on real bills.

Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).

If you see C7557 on your bill

Three steps before paying.

1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →

2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →

3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →

Related codes

Other codes in this category.

People who land on C7557 often also see these adjacent codes on the same bill.

Related BillBusted guides

Plain-English reads if you see C7557 on a bill.

C7557 FAQ

Plain-English answers.

What is C7557 used for on a medical bill?

HCPCS code C7557 is used on medical bills for outpatient prospective payment system (hospital outpatient): Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention. Up to 49% of medical bills contain at least one error (CFPB, 2023), and codes in this category most often get flagged for unbundling. If you see C7557 on your bill, request the itemized statement and compare the units, date of service, and description to your Explanation of Benefits before paying.

How much should C7557 cost?

How much C7557 should cost depends on your payer and region. Up to 49% of medical bills contain at least one error (CFPB, 2023), and pricing for this HCPCS code is set by Medicare fee schedules for Medicare claims and by negotiated allowed amounts for commercial plans. Check the Medicare fee-schedule lookup tool, your insurer's member portal, or run a free BillBusted scan to compare your charge against typical allowed amounts.

Can I dispute a C7557 charge on my medical bill?

Yes, you can dispute a C7557 charge on your medical bill if the units, modifier, date of service, or coverage doesn't match the medical record or your insurance benefits. About 73.7% of patients who actually dispute a medical bill receive a correction (JAMA Health Forum, 2024). Request the itemized bill, compare to your EOB, and use BillBusted's Resolution Pack to draft the dispute letter if needed.

Don't pay C7557 blindly.

The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.