Summary
Intravascular lithotripsy is considered investigational for all indications. The policy lists CPT 37262, 37279 and 92972 and HCPCS C1761, C7571, C9764, C9765, C9766, C9767, C9772, C9773, C9774 and C9775. The policy is effective January 1, 2026.
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What to do
Action · 3 steps
01Already effective January 1, 2026: Billing team: Intravascular lithotripsy is considered investigational for all indications, and contracts exclude investigational services from coverage.
02Providers may bill members for investigational services, and providers are encouraged to inform members before rendering them that the members are likely to be financially responsible for the cost.
03Check the member's contract language before billing these codes, because contract language takes precedence over the medical policy.
Codes mentioned
372623727992972C1761C7571C9764C9765C9766C9767C9772C9773C9774C9775
Original notice
Intravascular Lithotripsy
beonbrand.getbynder.com · Always check the source before changing claims.