C1609 Vert dev motion-preserv

Payer policies and prior authorization for C1609

Payer coverage policies that name C1609

C1609 appears in 2 coverage policies from Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

Medicaid fee-for-service

Prior authorization required or conditional in VT.

• ND: $0.00 (physician), effective Aug 1, 2026
• VT: $0.00 (outpatient_hospital_opps), effective Jul 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.