C7557 Cor angio/vent w/ffr

Catheter placement in coronary artery(s) 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 and intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C7557

4 of 4 payer prior-auth lists that name C7557 require prior authorization or set conditions: Cigna.

PayerPlanStatePrior authConditionsSinceSource
CignaACA/IFPAllprior auth requiredMay be delegated to eviCore for some clientsJan 1, 2025Master Precertification List (For Health Care Providers)
CignaCardiologyAllprior auth requiredMar 7, 2026Cigna Commercial Prior Authorization Procedure Code List: Cardiology
CignaCardiologyAllprior auth requiredMar 7, 2026Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs
CignaComplete/PHS+/PreferredAllprior auth requiredMay be delegated to eviCore for some clientsJan 1, 2025Master Precertification List (For Health Care Providers)

Payer coverage policies that name C7557

C7557 appears in 1 coverage policy from Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Premera Blue CrossCoronary Angiography for Known or Suspected Coronary Artery Disease in Adults (2.02.507)listed, no stanceAug 11, 2026payer document

Recent prior-auth changes

  • Jul 1, 2026: PA removed, HealthSpring

Medicaid fee-for-service

  • IN: $0.00 (professional, facility), effective Jan 1, 2024
  • KY: $2412.78 (asc), effective Jan 1, 2026
  • MA: $2147.16 (asc), effective May 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.