C9778 Colpopexy, min/inv, ex-perit

Colpopexy, vaginal; minimally invasive extra-peritoneal approach (sacrospinous)

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9778

1 of 1 payer prior-auth lists that name C9778 require prior authorization or set conditions: Rocky Mountain Health Plans.

PayerPlanStatePrior authConditionsSinceSource
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

Recent prior-auth changes

  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans
  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans

Medicaid fee-for-service

  • AZ: $1698.98 (asc), effective Oct 1, 2026
  • IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jul 1, 2021
  • KS: $787.75 (asc, facility), effective Jul 1, 2021
  • KY: $2240.80 (asc), effective Jan 1, 2026
  • MA: $2112.18 (asc), effective May 1, 2026
  • ND: $1320.95 (physician, facility), effective Aug 1, 2026
  • VT: $3884.21 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $2212.27 (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.