C9355 Neuromatrix nerve cuff, cmCollagen nerve cuff (neuromatrix), per 0.5 centimeter length
1 of 1 payer prior-auth lists that name C9355 require prior authorization or set conditions: Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Rocky Mountain Health Plans | Rocky Mountain Medicare Advantage D-SNP | CO | prior auth required | Feb 1, 2025 | Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025 |
C9355 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Blue Shield of California.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Nerve Grafting and Reconstruction: Selected Indications (0416) | not covered | Oct 6, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered | Jul 29, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Peripheral Nerve Injury Repair Using Synthetic Conduits Or Processed Nerve Allografts (A.7.01.177) | listed, no stance | payer document | |
| Blue Cross NC | Skin and Soft Tissue Substitutes | listed, no stance (range C9352-C9356) | Aug 1, 2026 | payer document |
| Blue Shield of California | Peripheral Nerve Injury Repair Using Synthetic Conduits or Processed Nerve Allografts (7.01.177) | listed, no stance | payer document |
Prior authorization required or conditional in IN.
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.