C1730 Cath, ep, 19 or few elect

Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C1730

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • KY: $0.00 (asc), effective Jan 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 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.