`C8000` Suprt dev, a-v fistula, imp

Support device, extravascular, for arteriovenous fistula (implantable)

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: Code Descriptor / CPT Instruction
Outpatient hospital: max 1 units per day (clinical), rationale: Code Descriptor / CPT Instruction

Payer policies and prior authorization for C8000

Payer coverage policies that name C8000

C8000 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Dialysis (0541)	not covered	Aug 26, 2026	payer document

Medicaid fee-for-service

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

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.

C8000 Suprt dev, a-v fistula, imp

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C8000

Payer coverage policies that name C8000

Medicaid fee-for-service

`C8000` Suprt dev, a-v fistula, imp