Does C9763 require prior authorization?

Yes, C9763 requires prior authorization (high confidence). At least one active policy explicitly requires prior authorization.

`C9763`, Cardiac magnetic resonance imaging for morphology and function, quantification

HCPCS/CPT

Prior Auth Required

At least one active policy explicitly requires prior authorization (high confidence)

Myocardial strain imaging is not covered for any indication; it is considered experimental/investigational/unproven, including in individuals exposed to potentially cardiotoxic medications or radiation.
Myocardial strain imaging is not covered for any indication because it is considered experimental/investigational and/or unproven.
Myocardial strain imaging is not covered for any indication; it is considered experimental, investigational and/or unproven.
Cardiac CT is medically necessary to evaluate suspected or established congenital heart disease when echocardiography is technically limited or non-diagnostic.
Cardiac CT is medically necessary to evaluate suspected native or prosthetic valve dysfunction when other imaging options are not feasible or are suboptimal.
Preoperative CT-based cardiac evaluation is medically necessary for patients undergoing non-emergency non-cardiac surgery.

ANTHEM-RAD.00068, Myocardial Strain Imaging

EVICORE-HPLAN-AETNA-5BB4F6E94100, Aetna Cardiology and Radiology Code List - Effective 01/01/2026

EVICORE-HPLAN-CIGNA-D342290ED333, Cigna Commercial Cardiology Code List - Effective 03/07/2026

EVICORE-HPLAN-CIGNA-AFCE721BA4F3, Cigna Comprehensive Code List - Effective 03/07/2026

EVICORE-HPLAN-CIGNA_MEDICARE-B17FDA871CCE, Cigna Commercial & Medicare Cardiology & Radiology Code List - Effective 01/01/2026

EVICORE-HPLAN-EOCCO-F43FD04E5F71, EOCCO Cardiology & Radiology Code List - Effective 01/01/2026

EVICORE-HPLAN-HEALTH_PARTNERS_PLANS-CFF312B0BB7B, Health Partners Plans Cardiology, Radiology, and Ultrasound Code List – Effective 07/01/2025

BCBSIL-RAD601.069, Myocardial Strain Imaging

BCBSMT-RAD601.069, Myocardial Strain Imaging

BCBSNM-RAD601.069, Myocardial Strain Imaging

BCBSOK-RAD601.069, Myocardial Strain Imaging

REGENCE-MED168, Myocardial Strain Imaging

CARELON-imaging-of-the-heart-2025-11-15-updated-2026-05-01, Imaging of the Heart

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