PAYER POLICY CHANGES

C9755 Insurance Policy Changes

HCPCS C9755 is officially defined as "Creation of arteriovenous fistula, percutaneous using magnetic-guided arterial and venous catheters and radiofrequency energy, including flow-directing procedures (e.g., vascular coil embolization with radiologic supervision and interpretation, when performed) and fistulogram(s), angiography, venography, and/or ultrasound, with radiologic supervision and interpretation, when performed." HCPCS C9755 is referenced in 2 tracked payer policy changes from Michigan Medicaid - MDHHS and Indiana Medicaid (IHCP). For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C9755 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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