C1982 Cath, pressure,valve-occlu

Catheter, pressure-generating, (e.g., one-way valve or occlusion balloon, intermittently or temporarily occluding)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C1982

4 of 4 payer prior-auth lists that name C1982 require prior authorization or set conditions: Molina Healthcare of Texas.

PayerPlanStatePrior authConditionsSinceSource
Molina Healthcare of TexasSTARTXprior auth requiredFeb 19, 2025Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR), reviewed 2025-02-19
Molina Healthcare of TexasSTAR+PLUSTXprior auth requiredFeb 19, 2025Molina Healthcare of Texas Prior Authorization Annual Review Report (STAR+PLUS), reviewed 2025-02-19
Molina Healthcare of TexasSTAR, STAR+PLUS, STAR Kids, CHIP (Medicaid PA code matrix)TXprior auth requiredApr 1, 2020Medicaid Behavioral Health and Medical Prior Authorization (PA) Code Matrix (Texas), 2026-Q3
Molina Healthcare of TexasExchangeTXprior auth requiredApr 1, 2020Marketplace Prior Authorization (PA) Code Matrix (Texas), effective July 1, 2026

Payer coverage policies that name C1982

C1982 appears in 3 coverage policies from Aetna, Blue Shield of California, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaLiver and Other Neoplasms - Treatment Approaches (0268)not coveredSep 18, 2026payer document
Blue Shield of CaliforniaTranscatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies (8.01.11)listed, no stancepayer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Transcatheter Arterial Chemoembolization to Treat Primary or Metastatic Liver Malignancies (THE801.022)listed, no stanceDec 1, 2025payer document

Recent prior-auth changes

  • Feb 1, 2024: PA removed, Blue Shield of California Promise Health Plan

Medicaid fee-for-service

  • IN: $0.00 (professional, facility), effective Jan 1, 2020
  • KY: $0.00 (asc), effective Jan 1, 2026
  • ND: $0.00 (physician), effective Aug 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.