20697 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 20697 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue).
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona (AZ Blue) | Federal Employee Program (FEP) | AZ | prior auth under conditions | FEP Blue Focus only | Sep 1, 2026 | Federal Employee Program (FEP) Prior Authorization Requirements Code List (Updated 09/01/2026) |
20697 appears in 6 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cranial Remodeling (0379) | covered if criteria are met | May 26, 2026 | payer document |
| Aetna | Distraction Osteogenesis for Craniofacial Defects (0549) | covered if criteria are met | Jul 30, 2026 | payer document |
| Aetna | Distraction Osteosynthesis (0220) | covered if criteria are met | Apr 9, 2026 | payer document |
| Aetna | Obstructive Sleep Apnea in Children (0752) | not covered (range 20692-20697) | Oct 30, 2025 | payer document |
| Aetna | Remote Ischemic Conditioning (0814) | listed, no stance (range 20000-29999) | Nov 20, 2025 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 20100-29999) | 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.