15005 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 15005 require prior authorization or set conditions: Blue Cross and Blue Shield of New Mexico.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of New Mexico | Turquoise Care (New Mexico Medicaid) | NM | prior auth required | Oct 1, 2026 | New Mexico Medicaid Benefit Preauthorization Procedure Code List 10/1/26 |
15005 appears in 2 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Beremagene Geperpavec-svdt (Vyjuvek) (1033) | listed, no stance (range 15002-15005) | Jun 12, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | listed, no stance (range 15002-15005) | Jul 29, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 10040-19499) | Jul 29, 2026 | payer document |
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.