0814T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0814T

1 of 1 payer prior-auth lists that name 0814T require prior authorization or set conditions: HealthSpring.

PayerPlanStatePrior authConditionsSinceSource
HealthSpringMedicare AdvantageAllprior auth requiredAug 1, 20262026 Q4 Prior Authorization List

Payer coverage policies that name 0814T

0814T appears in 15 coverage policies from Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Injections		listed, no stanceSep 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
Premera Blue CrossNon-covered Experimental/Investigational Services
Page | 11 of 38 | ∞		listed, no stanceOct 1, 2026payer document
RegenceNew and Emerging Medical Technologies and Procedures (Medicine 149)
perianal perifistular soft tissue, | Pharmaceuticals		listed, no stanceJun 1, 2026payer document
UnitedHealthcareCategory III CPT Codes (MMP043.49)
balloon | Commercial Medical		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (2026T0410KK)listed, no stanceJan 1, 2026payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (CS009.V)listed, no stanceDec 1, 2025payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Idaho Only) (CS009ID.D)listed, no stanceMay 1, 2026payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Kansas Only) (CS009KS.02)listed, no stanceDec 1, 2025payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Kentucky Only) (CS009KY.08)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Nebraska Only) (CS009NE.V)listed, no stanceDec 1, 2025payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for New Mexico Only) (CS009NM.C)listed, no stanceDec 1, 2025payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Ohio Only) (CS009OH.D)listed, no stanceJan 1, 2026payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Pennsylvania Only) (CS009PA.T)listed, no stanceDec 1, 2025payer document
UnitedHealthcareSpinal Fusion and Bone Healing Enhancement Products (for Tennessee Only) (CS009TN.T)listed, no stanceDec 1, 2025payer document

Recent prior-auth changes

  • Aug 1, 2026: PA added, HealthSpring

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • 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.