C7526 L hrt gft ang w/flow resrv

Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7526

Payer coverage policies that name C7526

C7526 appears in 2 coverage policies from Blue Shield of California, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Blue Shield of CaliforniaBSC2.13 Elective Invasive Coronary Angiography (ICA)listed, no stancepayer document
Premera Blue CrossCoronary Angiography for Known or Suspected Coronary Artery Disease in Adults (2.02.507)listed, no stanceAug 11, 2026payer document

Medicaid fee-for-service

  • AZ: $1492.24 (asc), effective Oct 1, 2026
  • IN: $0.00 (professional, facility), effective Jan 1, 2023
  • KS: $1384.40 (asc, facility), effective Jan 1, 2023
  • KY: $2662.25 (asc), effective Jan 1, 2026
  • MA: $1977.77 (asc), effective May 1, 2026
  • ND: $1569.40 (physician, facility), 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.