`0976T` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0976T

Payer coverage policies that name 0976T

0976T appears in 4 coverage policies from Aetna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, UnitedHealthcare.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Anacaulase-bcdb (Nexobrid) (1087)	listed, no stance	Oct 3, 2025	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 \| 19 of 38 \| ∞	listed, no stance	Oct 1, 2026	payer document
UnitedHealthcare	Category III Codes (2026T0644Q)	listed, no stance	Jul 1, 2026	payer document

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.

0976T CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0976T

Payer coverage policies that name 0976T

Medicaid fee-for-service

`0976T` CPT® code: payer coverage and prior authorization