C8004 Insurance Policy Changes

HCPCS C8004 is officially defined as "Simulation angiogram with use of a pressure-generating catheter (e.g., one-way valve, intermittently occluding), inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the angiogram, for subsequent therapeutic radioembolization of tumors." HCPCS C8004 is referenced in 2 tracked payer policy changes from Blue Cross Blue Shield of Rhode Island and HealthPartners. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS C8004 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.