0724T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0724T

Payer coverage policies that name 0724T

0724T appears in 6 coverage policies from Aetna, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence.

PayerPolicyRole in policyReviewedDocument
AetnaMagnetic Resonance Cholangiopancreatography (0384)not coveredJun 25, 2026payer document
AetnaNoninvasive Tests for Hepatic Fibrosis (0690)not coveredJun 18, 2026payer document
CignaCategory III Current Procedural Terminology (CPT®) codes (0558)unproven / investigationalSep 15, 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
Premera Blue CrossNon-covered Experimental/Investigational Services
Page | 8 of 38 | ∞
listed, no stanceOct 1, 2026payer document
RegenceNew and Emerging Medical Technologies and Procedures (Medicine 149)listed, no stanceJun 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • KS: $186.41 (default, Exempt Physician), effective Jul 1, 2022
  • 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.