26531 CPT® code: payer coverage and prior authorization26531 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Distal Interphalangeal (DIP), Metacarpophalangeal (MCP) and Proximal Interphalangeal (PIP) Joint Implants (0798) | covered if criteria are met | Feb 24, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance | Jul 23, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 26010-26989) | Jul 23, 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 26530-26531) | Jul 29, 2026 | payer document |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 20100-29999) | Jul 29, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Pyrocarbon Metacarpophalangeal And Proximal Interphalangeal Joint Implants (L.7.01.411) | unproven / investigational | 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.