0076T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0076T

Payer coverage policies that name 0076T

0076T appears in 11 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCerebrovascular Angioplasty, Stenting, and Select Surgical Procedures (0276)covered if criteria are metSep 10, 2026payer document
AetnaDrug-Eluting Stents (0621)listed, no stance (range 0075T-0076T)Sep 23, 2026payer document
AetnaIntravascular Ultrasound (0382)listed, no stance (range 0075T-0076T)May 26, 2026payer document
AnthemAnesthesia Services and Moderate (“Conscious”) Sedation (CG-MED-21)covered if criteria are met (range 00700-00797)Nov 6, 2025payer document
AnthemCarotid, Vertebral and Intracranial Artery Stent Placement with or without Angioplasty (CG-SURG-76)not coveredAug 13, 2026payer document
Blue Cross & Blue Shield of MississippiEndovascular Therapies For Extracranial Vertebral Artery Disease (L.7.01.447)unproven / investigationalpayer document
Blue Cross & Blue Shield of MississippiExtracranial Carotid Artery Stentingcovered if criteria are metpayer document
Blue Cross NCCarotid Artery Angioplasty/Stenting (CAS)listed, no stanceJun 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Category III Current Procedural Terminology (CPT®) Codeslisted, no stanceJan 1, 2027payer document
RegenceNew and Emerging Medical Technologies and Procedures (Medicine 149)listed, no stanceJun 1, 2026payer document
UnitedHealthcareOmnibus Codes (MMP107.09)listed, no stanceJun 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, WA.

  • CO: $93.90 (chp_plus, non-facility), effective Jul 1, 2026
  • IL: $83.00 (practitioner), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.