`C1742` Pressure sens syst, cont im

Pressure monitoring system, compartmental intramuscular (implantable), continuous, including all components (e.g., introducer, sensor), excludes mobile (wireless) software application

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 1 units per day (clinical), rationale: Nature of Equipment
Outpatient hospital: max 1 units per day (clinical), rationale: Nature of Equipment

Payer policies and prior authorization for C1742

Payer coverage policies that name C1742

C1742 appears in 1 coverage policy from Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Premera Blue Cross	Non-covered Experimental/Investigational Services Page \| 30 of 38 \| ∞	listed, no stance	Oct 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

ND: $0.00 (physician), effective Aug 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 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.

C1742 Pressure sens syst, cont im

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C1742

Payer coverage policies that name C1742

Medicaid fee-for-service

`C1742` Pressure sens syst, cont im