C7562 R&l hrt angio w/ffr & 3d map

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed with 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 C7562

Payer coverage policies that name C7562

C7562 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

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $1492.24 (asc), effective Oct 1, 2026
  • KY: $2662.25 (asc), effective Jan 1, 2026
  • MA: $2235.18 (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.