C9781 Insurance Policy Changes

HCPCS C9781 is officially defined as "Arthroscopy, shoulder, surgical; with implantation of subacromial spacer (e.g., balloon), includes debridement (e.g., limited or extensive), subacromial decompression, acromioplasty, and biceps tenodesis when performed." HCPCS C9781 is referenced in 3 tracked payer policy changes from Anthem BCBS, PacificSource Health Plans, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C9781 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Related

All billing codesJ35909921299213992029921199214

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