24366 CPT® code: payer coverage and prior authorization3 of 3 payer prior-auth lists that name 24366 require prior authorization or set conditions: Neighborhood Health Partnership, UnitedHealthcare, UnitedHealthcare Community Plan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Neighborhood Health Partnership | Neighborhood Health Partnership | FL | prior auth under conditions | site of care: outpatient hospital; not in AK, IL, GU, MA, PR, RI, TX, UT, VI, WI | Sep 1, 2026 | Prior authorization requirements for Neighborhood Health Partnership Effective September 1, 2026 |
| UnitedHealthcare | UnitedHealthcare Complete (Individual & Family plans) | All | prior auth required | Sep 1, 2026 | Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026 | |
| UnitedHealthcare Community Plan | UnitedHealthcare Community Plan of Kentucky | KY | prior auth required | Jul 1, 2026 | Prior authorization requirements for UnitedHealthcare Community Plan of Kentucky Effective July 1, 2026 |
24366 appears in 17 coverage policies from Aetna, Centene, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Elbow Arthroplasty (0857) | covered if criteria are met | Dec 9, 2025 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 23930-24999) | Jun 19, 2026 | 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) | listed, no stance (range 24365-24366) | Jul 29, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 20100-29999) | Jul 29, 2026 | payer document |
| Centene | Radial Head Implant (CP.MP.148) | covered if criteria are met | May 1, 2022 | payer document |
| UnitedHealthcare | Surgery of the Elbow (2026T0551BB) | listed, no stance | Aug 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (CS033.V) Arthroplasty, Joint Replacement, Elbow | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Idaho Only) (CS033ID.D) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Kansas Only) (CS033KS.03) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Kentucky Only) (CS033KY.11) Arthroplasty, Joint Replacement, Elbow | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Nebraska Only) (CS033NE.V) Arthroplasty, Joint Replacement, Elbow | listed, no stance | Jan 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for New Jersey Only) (CS033NJ.S) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for New Mexico Only) (CS033NM.D) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for North Carolina Only) (CSNCT0551.07) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Ohio Only) (CS033OH.E) Arthroplasty, Joint Replacement, Elbow | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Pennsylvania Only) (CS033PA.T) Arthroplasty, Joint Replacement, Elbow | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Elbow (for Tennessee Only) (CS033TN.U) | listed, no stance | Sep 1, 2026 | payer document |
Prior authorization required or conditional in WV.
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.