C9768 Endo us-guide hep porto grad

Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9768

Payer coverage policies that name C9768

C9768 appears in 2 coverage policies from Aetna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).

PayerPolicyRole in policyReviewedDocument
AetnaEndoscopic Ultrasonography (0446)not coveredJul 22, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Endoscopic Ultrasound-Guided Direct Hepatic Portosystemic Pressure Gradient Measurement (SUR701.043)listed, no stanceApr 1, 2026payer document

Medicaid fee-for-service

  • IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Oct 1, 2020
  • 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.