5 commercial payer policies list C1875. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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5 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of C1875 |
|---|---|---|
| Cerebrovascular Angioplasty, Stenting, and Select Surgical Procedures | Mar 16, 2023 | Covered |
| Drug-Eluting Stents | Sep 12, 2023 | Covered |
| Dysphagia Therapy | Sep 12, 2023 | Covered |
| Policy | Effective | Status of C1875 |
|---|---|---|
| Percutaneous Coronary Intervention | Sep 19, 2026 | Covered |
| Percutaneous Coronary Intervention [for Wellpoint Massachusetts] | Oct 20, 2024 | Covered |