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PAYER POLICY CHANGES

C1736 Insurance Policy Changes

HCPCS C1736 is officially defined as "Catheter(s), intravascular for renal denervation, ultrasound, including all single use system components." HCPCS C1736 is referenced in 17 tracked payer policy changes from Capital Blue Cross, Blue Shield of California, and 9 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C1736 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

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REFERENCE DATA

Payers with rules8
Payers requiring prior auth8
  • Anthem BCBS · Effective November 1, 2026

    Prior authorization required

    Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial)

  • Elevance Health · Effective February 11, 2026

    Prior authorization required

    List of items and services that require prior authorization (Elevance CMS-0057-F list)

  • Ambetter · Effective December 31, 2025

    Prior authorization required

    Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does Ambetter require prior authorization for C1736?

Ambetter lists C1736 on Ambetter from Arizona Complete Health CMS-0057-F prior authorization requirements for exchange plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Anthem BCBS require prior authorization for C1736?

Anthem BCBS lists C1736 on Anthem Local PPO Precertification/Prior Authorization List (California | Anthem Blue Cross | Commercial) for commercial plans (list dated November 1, 2026). Verify with the payer before scheduling.

Does Arizona Complete Health require prior authorization for C1736?

Arizona Complete Health lists C1736 on Arizona Complete Health CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for C1736?

BCBS Michigan lists C1736 on BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines) for commercial plans, with conditions (list dated October 13, 2026). Verify with the payer before scheduling.

Does Capital Blue Cross require prior authorization for C1736?

Capital Blue Cross lists C1736 on Capital Blue Cross single source preauthorization code list for commercial plans. Verify with the payer before scheduling.

What insurance policy changes affect HCPCS C1736?

There are 17 tracked policy changes affecting HCPCS C1736, including updates from Capital Blue Cross, Blue Shield of California, HealthPartners. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for HCPCS C1736?

Payers that have issued tracked updates for HCPCS C1736 include: Capital Blue Cross, Blue Shield of California, HealthPartners, Premera Blue Cross, Humana, Medicare/CMS, Independence Blue Cross, Medicare/CMS - Transmittals, BlueCross BlueShield of South Carolina, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Louisiana.

How do I get notified when HCPCS C1736 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS C1736. You will get an email when new policy changes reference this code: daily or weekly, your choice, on every plan.

Why do payers change policies for HCPCS C1736?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

See every payer rule for C1736

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for C1736 in one place.

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