1012T CPT® code: payer coverage and prior authorization1012T appears in 14 coverage policies from Aetna, Blue Shield of California, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Glaucoma Surgery (0484) | not covered | Jul 14, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 10040-19499) | Jul 29, 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 |
| Regence | Surgical Treatments for Glaucoma (Surgery 227) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (CS050.Y) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (2026T0443MM) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Kansas Only) (CS050KS.03) | listed, no stance | Feb 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Kentucky Only) (CS050KY.09) | listed, no stance | Mar 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Nebraska Only) (CS050NE.Y) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for New Mexico Only) (CS050NM.E) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Ohio Only) (CS050OH.D) | listed, no stance | Apr 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Pennsylvania Only) (CS050PA.V) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Glaucoma Surgical Treatments (for Tennessee Only) (CS050TN.V) | listed, no stance | Feb 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.