C9783 Blind cor sinus reducer impl

Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9783

6 of 7 payer prior-auth lists that name C9783 require prior authorization or set conditions: Molina Healthcare of Iowa, Molina Healthcare of Nevada, Molina Healthcare of Ohio, Molina Healthcare of Texas.

PayerPlanStatePrior authConditionsSinceSource
Molina Healthcare of IowaMedicaidIAprior auth requiredJul 1, 2023IA Prior Authorization Matrix, effective Q3 2023
Molina Healthcare of NevadaMedicaidNVprior auth requiredOct 1, 2022Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022
Molina Healthcare of OhioMedicaid and MyCare Ohio (MMP) MedicaidOHprior auth required*These would only be covered as part of an experimental study and may not be covered in…Oct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of OhioMedicare and MyCare Ohio (MMP) MedicareOHprior auth required*These would only be covered as part of an experimental study and may not be covered in…Oct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of OhioExchangeOHprior auth required*These would only be covered as part of an experimental study and may not be covered in…Oct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of TexasExchangeTXprior auth requiredPA Modernization - PA requirements will be removed where coveredJan 1, 2024Marketplace Prior Authorization (PA) Code Matrix (Texas), effective July 1, 2026

Payer coverage policies that name C9783

C9783 appears in 2 coverage policies from Aetna, Capital Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaCatheter-Directed Cardiac Procedures (0292)not coveredAug 4, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Cardiac
listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Feb 19, 2025: PA removed, Molina Healthcare of Texas
  • Feb 19, 2025: PA removed, Molina Healthcare of Texas
  • Jan 1, 2025: PA removed, Molina Healthcare of Texas
  • Jan 1, 2023: PA added, Molina Healthcare of Ohio

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • AZ: $5083.48 (asc), effective Oct 1, 2026
  • ND: $3118.57 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $5105.26 (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.