`0899T` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0899T

5 of 5 payer prior-auth lists that name 0899T require prior authorization or set conditions: Cigna, HealthSpring.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Cigna	ACA/IFP	All	prior auth required	May be delegated to eviCore for some clients	Jul 1, 2024	Master Precertification List (For Health Care Providers)
Cigna	Cardiology	All	prior auth under conditions	Add-on code: requested with the primary procedure	Mar 7, 2026	Cigna Commercial Prior Authorization Procedure Code List: Cardiology
Cigna	Cardiology	All	prior auth under conditions	Add-on code: requested with the primary procedure	Mar 7, 2026	Cigna Commercial Comprehensive CPT Code Reference for Prior Authorization Across All Programs
Cigna	Complete/PHS+/Preferred	All	prior auth required	May be delegated to eviCore for some clients	Jul 1, 2024	Master Precertification List (For Health Care Providers)
HealthSpring	Medicare Advantage	All	prior auth required		Jan 1, 2025	2026 Q4 Prior Authorization List

Payer coverage policies that name 0899T

0899T appears in 5 coverage policies from Aetna, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Magnetic Resonance Imaging of the Cardiovascular System - Cardiac MRI (0520)	not covered	Aug 20, 2026	payer document
Aetna	Positron Emission Tomography (PET) (0071)	covered if criteria are met	Sep 14, 2026	payer document
Capital Blue Cross	Experimental and Investigational Procedures (MP 4.002) Procedure codes: Cardiac	listed, no stance	Sep 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
Premera Blue Cross	Non-covered Experimental/Investigational Services Page \| 13 of 38 \| ∞	listed, no stance	Oct 1, 2026	payer document

Recent prior-auth changes

Jul 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.

0899T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0899T

Payer coverage policies that name 0899T

Recent prior-auth changes

Medicaid fee-for-service

`0899T` CPT® code: payer coverage and prior authorization