C9797 Vasc emb/occ w/prs cath

Vascular embolization or occlusion procedure with use of a pressure-generating catheter (e.g., one-way valve or occlusion balloon, intermittently or temporarily occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction

Medically Unlikely Edits (effective October 1, 2026)

Payer policies and prior authorization for C9797

Payer coverage policies that name C9797

C9797 appears in 2 coverage policies from Aetna, Blue Cross Blue Shield of Massachusetts.

PayerPolicyRole in policyReviewedDocument
AetnaLiver and Other Neoplasms - Treatment Approaches (0268)not coveredSep 18, 2026payer document
Blue Cross Blue Shield of MassachusettsTranscatheter Arterial Chemoembolization (634)listed, no stancepayer document

Medicaid fee-for-service

Prior authorization required or conditional in WV.

  • AZ: $11467.62 (asc), effective Oct 1, 2026
  • IN: $0.00 (professional, facility), effective Jan 1, 2024
  • KS: $9905.00 (asc, facility), effective Apr 1, 2024
  • KY: $12190.43 (asc), effective Jan 1, 2026
  • MA: $10458.60 (asc), effective May 1, 2026
  • ND: $7186.27 (physician, facility), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $8106.92 (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.