C9808 Cryo probe non-opioid devNerve cryoablation probe (e.g., cryoice, cryosphere, cryosphere max, cryoice cryosphere, cryoice cryo2), including probe and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
4 of 4 payer prior-auth lists that name C9808 require prior authorization or set conditions: Cigna.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Cigna | ACA/IFP | All | prior auth required | May be delegated to eviCore for some clients | Jan 1, 2025 | Master Precertification List (For Health Care Providers) |
| Cigna | Complete/PHS+/Preferred | All | prior auth required | May be delegated to eviCore for some clients | Jan 1, 2025 | Master Precertification List (For Health Care Providers) |
| Cigna | Other Services | All | prior auth required | Experimental/investigational | Mar 7, 2026 | Cigna Commercial Prior Authorization Procedure Code List: Other Services |
| Cigna | Other Services | All | prior auth required | Experimental/investigational | Mar 7, 2026 | Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs |
C9808 appears in 10 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Rhode Island, Blue Shield of California, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Back Pain - Invasive Procedures (0016) | not covered | Oct 6, 2026 | payer document |
| Aetna | Cryoablation (0100) | not covered | Aug 4, 2026 | payer document |
| Aetna | Cryoanalgesia and Therapeutic Cold (0297) | not covered | Apr 14, 2026 | payer document |
| Aetna | Knee Arthroscopy / Osteoarthritis of the Knee (0673) | not covered | Feb 19, 2026 | payer document |
| Anthem | Cryosurgery of Peripheral Nerves (SURG.00155) | unproven / investigational | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Ablation of Peripheral, Genicular and Other Nerves and Neuromas | not covered | Jan 21, 2026 | payer document |
| Blue Shield of California | Ablation of Peripheral Nerves to Treat Pain (7.01.154) | listed, no stance | payer document | |
| Cigna | Peripheral Nerve Destruction for Pain Conditions (0525) | not covered | Sep 15, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Ablation of Peripheral Nerves to Treat Pain (SUR705.040) | listed, no stance | Dec 15, 2025 | payer document |
| Premera Blue Cross | Ablation of Peripheral Nerves to Treat Pain (7.01.565) | listed, no stance | Jul 13, 2026 | payer document |
Prior authorization required or conditional in IN.
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.