0448T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0448T

26 of 31 payer prior-auth lists that name 0448T require prior authorization or set conditions: Blue Shield of California, CarePlus Health Plans, HealthSpring, Humana, Molina Complete Care (Virginia), Molina Healthcare of Arizona, Molina Healthcare of California, Molina Healthcare of Florida, Molina Healthcare of Idaho, Molina Healthcare of Michigan, Molina Healthcare of New Mexico, Molina Healthcare of Ohio, Molina Healthcare of South Carolina, Molina Healthcare of Utah, Molina Healthcare of Washington, Molina Healthcare of Wisconsin, Molina Healthcare, Inc. (national grid).

PayerPlanStatePrior authConditionsSinceSource
Blue Shield of CaliforniaBlue Shield commercialCAprior auth requiredSep 1, 2026Prior Authorization List for Blue Shield
HealthSpringMedicare AdvantageAllprior auth requiredAug 1, 20262026 Q4 Prior Authorization List
CarePlus Health PlansCarePlus Health PlansFLprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
HumanaHumana D-SNP (FL)FLprior auth requiredJan 1, 20271 *New prior authorization requirement 787403FL0725 FLHMQSREN Humana Dual Fully Integrated Florida Prior Authorization and Notification List
HumanaHumana D-SNP (IL)ILprior auth requiredJan 1, 2027Humana Dual Fully Integrated Illinois Prior Authorization and Notification List
HumanaHumana D-SNP (IN)INprior auth requiredJan 1, 2027*New prior authorization requirement 814403IN0825 H4939_INHN6Z6EN_C Humana PathWays Dual Care (HMO-POS D-SNP) Indiana Prior Authorization and Notification List
HumanaHumana D-SNP (MI)MIprior auth requiredJan 1, 20271 Humana Dual Highly Integrated Michigan Prior Authorization and Notification List
HumanaHumana D-SNP (SC)SCprior auth requiredJan 1, 2027Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List
HumanaHumana D-SNP (VA)VAprior auth requiredJan 1, 2027Virginia Prior Authorization and Notification List
HumanaHumana MA and D-SNPAllprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
HumanaHumana Puerto Rico MA and Dual Medicare-MedicaidPRprior auth requiredNov 3, 2025Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification
HumanaOak Street HealthAllprior auth requiredOak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management
Molina Complete Care (Virginia)Medicare-only PA matrix for D-SNPVAprior auth requiredJan 1, 2022Medicare Prior Auth (PA) Code Matrix (Virginia), effective Q1 2022
Molina Healthcare of ArizonaMedicare-only PA matrix for D-SNPAZprior auth requiredJan 1, 2022Medicare Prior Auth (PA) Code Matrix (Arizona), effective Q1 2022
Molina Healthcare of CaliforniaMedicare AdvantageCAprior auth requiredJul 1, 2021Medicare Prior Auth (PA) Code Matrix (California), effective Q3 2021
Molina Healthcare of FloridaMedicare AdvantageFLprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Florida), effective Q2 2021
Molina Healthcare of IdahoMedicare AdvantageIDprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Idaho), effective Q2 2021
Molina Healthcare of MichiganMedicare AdvantageMIprior auth requiredJul 1, 2026Molina Healthcare of Michigan PA Matrix 2026-Q3
Molina Healthcare of MichiganExchangeMIprior auth requiredJul 1, 2021Molina Healthcare of Michigan PA Matrix, effective 7/1/2021
Molina Healthcare of New MexicoMedicare AdvantageNMprior auth requiredJan 1, 2021Medicare Prior Auth (PA) Code Matrix (New Mexico), effective Q1 2021
Molina Healthcare of OhioMedicare and MyCare Ohio (MMP) MedicareOHprior auth requiredOct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of South CarolinaMedicare AdvantageSCprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (South Carolina), effective Q2 2021
Molina Healthcare of UtahMedicare AdvantageUTprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Utah), effective Q2 2021
Molina Healthcare of WashingtonMedicare AdvantageWAprior auth requiredApr 1, 2021Medicare Prior Auth (PA) Code Matrix (Washington), effective Q2 2021
Molina Healthcare of WisconsinMedicare AdvantageWIprior auth requiredOct 1, 2021Medicare Prior Auth (PA) Code Matrix (Wisconsin), effective Q4 2021
Molina Healthcare, Inc. (national grid)Molina national (MHI) Medicare gridAllprior auth requiredOct 1, 2021Medicare Prior Auth (PA) Code Matrix (national), effective Q4 2021

Payer coverage policies that name 0448T

0448T appears in 20 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaDiabetes Tests, Programs and Supplies (0070)covered if criteria are metFeb 20, 2026payer document
AnthemContinuous Glucose Monitoring Devices (CG-DME-42)covered if criteria are metFeb 19, 2026payer document
Blue Cross & Blue Shield of MississippiContinuous Glucose Monitoringcovered if criteria are metpayer document
Blue Cross & Blue Shield of Rhode IslandGlucose Monitoring Devices and Suppliescovered if criteria are metOct 1, 2026payer document
Blue Cross & Blue Shield of Rhode IslandGlucose Monitoring- Continuouscovered if criteria are metJan 7, 2026payer document
Blue Cross NCContinuous Monitoring of Glucose in the Interstitial Fluidlisted, no stanceJun 1, 2026payer document
Blue Shield of California| Continuous Glucose Monitoring (1.01.20)listed, no stancepayer document
BlueCross BlueShield of South CarolinaContinuous or Intermittent Monitoring of Glucose in Interstitial Fluid (CAM 10120)listed, no stanceJun 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Category III Current Procedural Terminology (CPT®) Codes
CPT Codes 0054T, 0055T, 0071T, 0072T, 0075T, 0076T, 0095T, 0098T, 0100T, 0101T,
listed, no stanceJan 1, 2027payer document
RegenceNew and Emerging Medical Technologies and Procedures (Medicine 149)
glucose sensor from subcutaneous | (Senseonics)
listed, no stanceJun 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitor (for Ohio Only) (CS366OH.E)listed, no stanceNov 1, 2025payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (2026T0347XX)listed, no stanceAug 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (CS024SS.AH)listed, no stanceAug 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only) (CS024ID.D)listed, no stanceMay 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Kansas Only) (CS024KS.03)listed, no stanceAug 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Kentucky Only) (CS024KY.14)listed, no stanceSep 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Nebraska Only) (CS024NE.AE)listed, no stanceSep 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for New Mexico Only) (CS024NM.F)listed, no stanceAug 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Pennsylvania Only) (CS024PA.AI)listed, no stanceAug 1, 2026payer document
UnitedHealthcareContinuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Tennessee Only) (CS024TN.AF)listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Oct 1, 2026: PA removed, Oxford Health Plans
  • Aug 1, 2026: PA added, HealthSpring
  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans
  • Mar 1, 2025: PA removed, Rocky Mountain Health Plans
  • Dec 6, 2024: PA removed, Cigna
  • Dec 6, 2024: PA removed, Cigna
  • Dec 6, 2024: PA removed, Cigna

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • KY: $2229.12 (asc), effective Jan 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.