0989T CPT® code: payer coverage and prior authorization9 of 9 payer prior-auth lists that name 0989T require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), CarePlus Health Plans, Humana.
0989T appears in 6 coverage policies from Aetna, Anthem, Blue Shield of California, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Urinary Incontinence (0223) | not covered | Jul 16, 2026 | payer document |
| Anthem | Tibial Nerve Stimulation (CG-SURG-126) | not covered | Feb 19, 2026 | payer document |
| Blue Shield of California | BSC9.01 | Investigational Services | listed, no stance | 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 | Implantable Peripheral Nerve Stimulation for the Treatment of Chronic Pain and Other Conditions (7.01.574) | listed, no stance | Jul 1, 2026 | payer document |
| Regence | Subcutaneous Tibial Nerve Stimulation (Surgery 154) | listed, no stance | Dec 1, 2025 | 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.