0888T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0888T

7 of 7 payer prior-auth lists that name 0888T require prior authorization or set conditions: CarePlus Health Plans, HealthSpring, Humana.

PayerPlanStatePrior authConditionsSinceSource
HealthSpringMedicare AdvantageAllprior auth requiredAug 1, 20262026 Q4 Prior Authorization List
CarePlus Health PlansCarePlus Health PlansFLprior auth requiredNew PA requirementJan 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 requiredNew PA requirementJan 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 (VA)VAprior auth requiredNew PA requirementJan 1, 2027Virginia Prior Authorization and Notification List
HumanaHumana MA and D-SNPAllprior auth requiredNew PA requirementJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List

Payer coverage policies that name 0888T

0888T appears in 8 coverage policies from Aetna, Anthem, Capital Blue Cross, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaAblation of Hepatic Lesions (0274)not coveredJun 8, 2026payer document
AnthemHistotripsy (SURG.00165)unproven / investigationalAug 13, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Genitourinary
listed, no stanceSep 1, 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 | 13 of 38 | ∞
listed, no stanceOct 1, 2026payer document
RegenceHistotripsy for Tumor Treatment (Medicine 178)listed, no stanceJun 1, 2026payer document
UnitedHealthcareOmnibus Codes (for Ohio Only) (CS087OH.G)listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Jan 1, 2027: PA added, Humana
  • Jan 1, 2027: PA added, CarePlus Health Plans
  • Jan 1, 2027: PA added, CarePlus Health Plans
  • Jan 1, 2027: PA added, Humana
  • Jan 1, 2027: PA added, Humana
  • Jan 1, 2027: PA added, Humana
  • Jan 1, 2027: PA added, Humana
  • Jan 1, 2027: PA added, Humana
  • Aug 1, 2026: PA added, HealthSpring

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • KY: $9177.92 (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.