0940T CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 0940T require prior authorization or set conditions: Blue Shield of California.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Shield of California | Blue Shield commercial | CA | prior auth required | Sep 1, 2026 | Prior Authorization List for Blue Shield |
0940T appears in 9 coverage policies from Aetna, Blue Cross NC, Blue Shield of California, Capital Blue Cross, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cardiac Event Monitors (0073) | covered if criteria are met | Apr 7, 2026 | payer document |
| Aetna | Cardiac Event Monitors (0073) | listed, no stance | Apr 7, 2026 | payer document |
| Blue Cross NC | Ambulatory Event Monitors and Outpatient Cardiac Telemetry | listed, no stance | Jun 1, 2026 | payer document |
| Blue Shield of California | Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry (2.02.08) | listed, no stance | payer document | |
| Capital Blue Cross | Experimental and Investigational Procedures (MP 4.002) Procedure codes: Cardiac | listed, no stance | Sep 1, 2026 | payer document |
| Cigna | Ambulatory External and Implantable Electrocardiographic Monitoring (0547) | covered if criteria are met | Sep 15, 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 | 17 of 38 | ∞ | listed, no stance | Oct 1, 2026 | payer document |
| Regence | New and Emerging Medical Technologies and Procedures (Medicine 149) an echocardiogram that demonstrated | based support system. | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Ambulatory Electrocardiographic (AECG) Monitoring (MMP109.19) Patch Recorder | listed, no stance | Sep 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.