0552T CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 0552T require prior authorization or set conditions: HealthSpring.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| HealthSpring | Medicare Advantage | All | prior auth required | Aug 1, 2026 | 2026 Q4 Prior Authorization List |
0552T appears in 23 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Alopecia Areata (0423) | not covered | Jul 10, 2026 | payer document |
| Aetna | Cold Laser and High-Power Laser Therapies (0363) | covered if criteria are met | Jul 15, 2026 | payer document |
| Aetna | Diabetic Neuropathy: Selected Treatments (0729) | not covered | Feb 24, 2026 | payer document |
| Aetna | Dry Eyes (0457) | not covered | Jul 29, 2026 | payer document |
| Aetna | Female Sexual Dysfunction (FSD) (0574) | not covered | Sep 10, 2026 | payer document |
| Aetna | Laser Treatment for Psoriasis and Other Selected Skin Conditions (0577) | not covered | Jul 15, 2026 | payer document |
| Aetna | Management of Meibomian Glands (0797) | not covered | Nov 19, 2025 | payer document |
| Aetna | Organ Prolapse: Selected Procedures (0858) | not covered | Dec 24, 2025 | payer document |
| Aetna | Orthognathic Surgery (0095) | not covered | Mar 18, 2026 | payer document |
| Aetna | Tinnitus Treatments (0406) | not covered | Jul 10, 2026 | payer document |
| Aetna | Xerostomia: Selected Treatments (0302) | not covered | Apr 14, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Lowlevel Laser Therapy | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Low-Level Laser Therapy | covered if criteria are met | Mar 1, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Low-Level Laser Therapy sad | covered if criteria are met | Mar 1, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Low Level Laser Therapy (522) | unproven / investigational | payer document | |
| Blue Cross NC | Tinnitus Treatment | listed, no stance | Aug 1, 2026 | payer document |
| Blue Shield of California | | Low Level Laser Therapy (2.01.56) | listed, no stance | payer document | |
| Blue Shield of California | | Treatment of Tinnitus (8.01.39) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Low-Level Laser Therapy (CAM 20156) | listed, no stance | Apr 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Treatment of Tinnitus (CAM 80139) | listed, no stance | Jun 1, 2026 | payer 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 stance | Jan 1, 2027 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Low-Level Laser Therapy (MED201.045) | listed, no stance | Sep 15, 2026 | payer document |
| Premera Blue Cross | Non-covered Services and Procedures | listed, no stance | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.