01996 CPT® code: payer coverage and prior authorization01996 appears in 5 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina, Cigna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Complex Regional Pain Syndrome (CRPS): Treatments (0447) | covered if criteria are met | Jul 16, 2026 | payer document |
| Anthem | Anesthesia Services and Moderate (“Conscious”) Sedation (CG-MED-21) | covered if criteria are met | Nov 6, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Postoperative Pain Management (L.7.02.401) | covered if criteria are met | payer document | |
| BlueCross BlueShield of South Carolina | Patient-Controlled Analgesia (CAM 100107) | listed, no stance | Feb 1, 2026 | payer document |
| Cigna | Laboratory Testing Services (0604) | not covered | May 15, 2026 | payer document |
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.