Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Blue Cross & Blue Shield of MississippiAll Plans · Coverage · Medical Policy · CardiologyMedium impact

Intracoronary Drug Delivery Balloon Procedures

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Percutaneous coronary intervention with a drug-coated balloon for coronary in-stent restenosis in adult individuals is considered investigational under this policy, which was added on 04/01/2026. The AGENT paclitaxel-coated balloon received FDA premarket approval in February 2024 for in-stent restenosis in coronary arteries 2.0 mm to 4.0 mm in diameter with lesions up to 26 mm in length, and no drug-coated balloons are FDA-approved for de novo coronary lesions or small coronary vessel disease. Investigative treatments are not considered medically necessary, and Federal Employee Program members may have FDA-approved devices assessed only on the basis of medical necessity.

Get alerts when payers change rules like this one

We check Blue Cross & Blue Shield of Mississippi and other payers every day and email you when a change matches your specialty and state.

Get Blue Cross & Blue Shield of Mississippi alertsPolicy Monitoring is free. No card required.

What to do

Action · 3 steps
01Billing team: Do not bill percutaneous coronary intervention with a drug-coated balloon for coronary in-stent restenosis as medically necessary, because the policy considers it investigational.
02Billing team: Do not bill CPT 0913T or 0914T, HCPCS C9610, or the ICD-10 procedure codes for paclitaxel-coated balloon technology as medically necessary, because they are listed under investigational codes.
03Billing team: For Federal Employee Program members, FDA-approved devices may be assessed only on the basis of medical necessity.

Codes mentioned

C9610T82.855AT82.855DT82.855S

Original notice

Intracoronary Drug Delivery Balloon Procedures
bcbsms.com · Always check the source before changing claims.
View original ↗

Related policy hubs

Blue Cross & Blue Shield of Mississippi policiesCardiologyCode C9610Code T82.855ACode T82.855DCode T82.855S

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account