19302 CPT® code: payer coverage and prior authorization8 of 8 payer prior-auth lists that name 19302 require prior authorization or set conditions: CarePlus Health Plans, Humana.
19302 appears in 14 coverage policies from Aetna, Blue Cross NC, Capital Blue Cross, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Acupuncture and Dry Needling (0135) | listed, no stance | Mar 25, 2026 | payer document |
| Aetna | Breast Biopsy Procedures (0269) | listed, no stance (range 19301-19302) | May 14, 2026 | payer document |
| Aetna | Breast Reconstructive Surgery (0185) | listed, no stance (range 19300-19307) | Apr 22, 2026 | payer document |
| Aetna | Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography (0386) | listed, no stance | May 26, 2026 | payer document |
| Aetna | Cryoanalgesia and Therapeutic Cold (0297) | listed, no stance (range 19301-19307) | Apr 14, 2026 | payer document |
| Aetna | External Breast Prosthesis (0097) | listed, no stance (range 19300-19303) | Jan 15, 2026 | payer document |
| Aetna | Hyperbaric Oxygen Therapy (HBOT) (0172) | listed, no stance (range 19301-19307) | Apr 21, 2026 | payer document |
| Aetna | Intraoperative Radiation Therapy (IORT) (0721) | listed, no stance | Oct 20, 2025 | payer document |
| Aetna | Magnetic Resonance Imaging (MRI) of the Breast (0105) | listed, no stance (range 19300-19307) | Aug 6, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 19300-19307) | Jul 23, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 10040-19499) | Jul 29, 2026 | payer document |
| Blue Cross NC | Breast Surgeries | listed, no stance | Aug 1, 2026 | payer document |
| Capital Blue Cross | Gender Affirming Surgery (MP 1.144) Procedure codes | covered if criteria are met | Apr 1, 2026 | payer document |
| Centene | Cosmetic and Reconstructive Procedures Reference Number: CP.MP.31 (CP.MP.31) | covered if criteria are met | Aug 1, 2026 | payer document |
Prior authorization required or conditional in CO.
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.