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PAYER POLICY CHANGES

C9793 Insurance Policy Changes

HCPCS C9793 is officially defined as "3d predictive model generation for pre-planning of a cardiac procedure, using data from cardiac computed tomographic angiography and/or magnetic resonance imaging with report." No tracked policy changes reference HCPCS C9793 yet. New payer updates are added daily, so check back soon or create a free alert to be notified the moment a change affects this code.

No policies yet

No tracked policy changes match this filter yet. New policies are added daily.

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REFERENCE DATA

Payers with rules4
Payers requiring prior auth4
  • BCBS Michigan · Effective October 13, 2026

    Prior authorization required in some cases

    BCBSM and BCN procedure codes for which providers must request prior authorization (commercial lines)

  • Cigna · Effective March 7, 2026

    Prior authorization required

    Cigna Commercial prior authorization procedure code list: Cardiology (EviCore)

  • Centene · Effective December 31, 2025

    Prior authorization required

    Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements

FREQUENTLY ASKED QUESTIONS

Does AmeriHealth Caritas require prior authorization for C9793?

AmeriHealth Caritas lists C9793 on AmeriHealth Caritas Louisiana prior authorization service list for medicaid managed plans. Verify with the payer before scheduling.

Does BCBS Michigan require prior authorization for C9793?

BCBS Michigan lists C9793 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 Centene require prior authorization for C9793?

Centene lists C9793 on Sunshine Health Title XIX, Title XXI, Managed Medical Assistance CMS-0057-F prior authorization requirements for medicaid managed plans (list dated December 31, 2025). Verify with the payer before scheduling.

Does Cigna require prior authorization for C9793?

Cigna lists C9793 on Cigna Master Precertification List for commercial plans, with conditions (list dated October 1, 2026). Verify with the payer before scheduling.

What insurance policy changes affect HCPCS C9793?

No policy changes affecting HCPCS C9793 have been tracked yet. Check back as coverage expands.

Which payers have updated policy for HCPCS C9793?

No payer-specific updates have been tracked for HCPCS C9793 yet.

How do I get notified when HCPCS C9793 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to HCPCS C9793. 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 C9793?

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 C9793

Prior authorization lists, coverage criteria, NCCI edits and Medicare coverage articles for C9793 in one place.

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