19306 CPT® code: payer coverage and prior authorization4 of 4 payer prior-auth lists that name 19306 require prior authorization or set conditions: Humana.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Humana | Humana Healthy Horizons | KY | prior auth required | Jan 1, 2027 | please visit Humana Healthy Horizons in Kentucky Clinical coverage policies. | |
| Humana | Humana Healthy Horizons | OH | prior auth required | Jan 1, 2027 | 555201OH0924-B OHHMZG2EN Humana Healthy Horizons® in Ohio Prior Authorization Notification List (PAL) The following preauthorization and notification list | |
| Humana | Humana Healthy Horizons | OK | prior auth required | Jan 1, 2027 | Humana Healthy Horizons® in Oklahoma Prior Authorization Notification List (PAL) The following preauthorization and notification list | |
| Humana | Humana Healthy Horizons | SC | prior auth required | Jan 1, 2027 | Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical |
19306 appears in 9 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Acupuncture and Dry Needling (0135) | listed, no stance | Mar 25, 2026 | payer document |
| Aetna | Breast Reconstructive Surgery (0185) | listed, no stance (range 19300-19307) | Apr 22, 2026 | payer document |
| Aetna | Cryoanalgesia and Therapeutic Cold (0297) | listed, no stance (range 19301-19307) | Apr 14, 2026 | payer document |
| Aetna | Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications (0676) | listed, no stance | Oct 7, 2026 | payer document |
| Aetna | External Breast Prosthesis (0097) | listed, no stance (range 19305-19307) | Jan 15, 2026 | payer document |
| Aetna | Hyperbaric Oxygen Therapy (HBOT) (0172) | listed, no stance (range 19301-19307) | Apr 21, 2026 | 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 |
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.