C9352 Neuragen nerve guide, per cm

Microporous collagen implantable tube (neuragen nerve guide), per centimeter length

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9352

7 of 7 payer prior-auth lists that name C9352 require prior authorization or set conditions: Cigna, Rocky Mountain Health Plans.

PayerPlanStatePrior authConditionsSinceSource
CignaACA/IFPAllprior auth requiredMay be delegated to eviCore for some clientsAug 18, 2014Master Precertification List (For Health Care Providers)
CignaBasic StandardAllprior auth requiredMay be delegated to eviCore for some clientsAug 18, 2014Master Precertification List (For Health Care Providers)
CignaComplete/PHS+/PreferredAllprior auth requiredMay be delegated to eviCore for some clientsAug 18, 2014Master Precertification List (For Health Care Providers)
CignaOther ServicesAllprior auth requiredExperimental/investigationalMar 7, 2026Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs
CignaOther ServicesAllprior auth requiredExperimental/investigationalMar 7, 2026Cigna Commercial Prior Authorization Procedure Code List: Other Services
Rocky Mountain Health PlansRocky Mountain Health Plans CHP+COprior auth requiredOct 1, 2026Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026
Rocky Mountain Health PlansRocky Mountain Medicare Advantage D-SNPCOprior auth requiredFeb 1, 2025Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025

Payer coverage policies that name C9352

C9352 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaNerve Grafting and Reconstruction: Selected Indications (0416)not coveredOct 6, 2026payer document
AetnaSkin and Soft Tissue Substitutes (0244)not coveredJul 29, 2026payer document
Blue Cross & Blue Shield of MississippiPeripheral Nerve Injury Repair Using Synthetic Conduits Or Processed Nerve Allografts (A.7.01.177)listed, no stancepayer document
Blue Cross NCSkin and Soft Tissue Substituteslisted, no stance (range C9352-C9356)Aug 1, 2026payer document
Blue Shield of CaliforniaPeripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve Allografts (7.01.177)listed, no stancepayer document
CignaTissue-Engineered Skin Substitutes (0068)unproven / investigationalJun 15, 2026payer document

Medicaid fee-for-service

  • AZ: $1038.00 (outpatient_hospital), effective Apr 1, 2025
  • IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2021
  • 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
  • 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.