C8010 Pc plm pm c ctd emb prtc

Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral

Payer policies and prior authorization for C8010

2 of 2 payer prior-auth lists that name C8010 require prior authorization or set conditions: Cigna.

PayerPlanStatePrior authConditionsSinceSource
CignaACA/IFPAllprior auth requiredPrecertification removed 2026-09-30; Code deleted 2026-09-30; May be delegated to eviCore for some clientsApr 1, 2026Master Precertification List (For Health Care Providers)
CignaComplete/PHS+/PreferredAllprior auth requiredPrecertification removed 2026-09-30; Code deleted 2026-09-30; May be delegated to eviCore for some clientsApr 1, 2026Master Precertification List (For Health Care Providers)

Payer coverage policies that name C8010

C8010 appears in 5 coverage policies from Aetna, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaCerebrovascular Angioplasty, Stenting, and Select Surgical Procedures (0276)not coveredSep 10, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Cardiac
listed, no stanceSep 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Inside the U.S. Food and Drug Administration (FDA)listed, no stanceJan 1, 2026payer document
Premera Blue CrossTranscatheter Aortic-Valve Implantation for Aortic Stenosis (7.01.132)listed, no stanceOct 1, 2026payer document
RegenceExtracranial Carotid Angioplasty and Stenting (Surgery 93)listed, no stanceMar 1, 2026payer document

Recent prior-auth changes

  • Sep 30, 2026: PA removed, Cigna
  • Sep 30, 2026: PA removed, Cigna

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $4655.78 (asc), effective Oct 1, 2026
  • ND: $4896.50 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Jul 1, 2026
  • WY: $5410.98 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.