C9610 Cath coronary drug-delivery

Catheter, transluminal drug delivery with or without angioplasty, coronary, non-laser (insertable)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9610

Payer coverage policies that name C9610

C9610 appears in 2 coverage policies from Blue Cross & Blue Shield of Mississippi, Premera Blue Cross.

PayerPolicyRole in policyReviewedDocument
Blue Cross & Blue Shield of MississippiIntracoronary Drug Delivery Balloon Proceduresunproven / investigationalpayer document
Premera Blue CrossIntracoronary Drug Delivery Balloon Procedures (7.01.97)listed, no stanceFeb 10, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • 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.