Payer policies › CPT 2709327093 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 27093 2 of 2 payer prior-auth lists that name 27093 require prior authorization or set conditions: Neighborhood Health Partnership, UnitedHealthcare.
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 under conditions site of care: outpatient hospital Sep 1, 2026 Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026
Payer coverage policies that name 27093 27093 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 26990-27299) Jun 19, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 26990-27299) 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) not covered (range 20100-29999) Jul 29, 2026 payer document
Recent prior-auth changes Oct 1, 2026: PA removed, UnitedHealthcare Community Plan Oct 1, 2026: PA removed, Oxford Health Plans Oct 1, 2026: PA removed, UnitedHealthcare Oct 1, 2026: PA removed, UnitedHealthcare Oct 1, 2026: PA removed, UnitedHealthcare Aug 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, Neighborhood Health Partnership Jul 1, 2026: conditions changed, UnitedHealthcare Jul 1, 2026: conditions changed, UnitedHealthcare Medicaid fee-for-service AZ: $158.99 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $131.81 (chp_plus, non-facility), effective Jul 1, 2026 FL: $46.65 (physician, facility), effective Jan 1, 2026 IL: $66.07 (practitioner), effective Apr 1, 2024 IN: $52.33 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $80.60 (asc, facility), effective Aug 1, 1982 KY: $0.00 (asc), effective Jan 1, 2026 LA: $176.81 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 MS: $49.54 (comprehensive), effective Jul 1, 2026 ND: $257.96 (physician), effective Aug 1, 2026 NE: $37.65 (physician, facility), effective Jul 1, 2026 NY: $34.63 (physician_surgery, facility), effective Jul 1, 2026 OH: $51.22 (physician, facility), effective Jan 1, 2024 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $56.98 (physician, Physician, facility), effective Mar 1, 2024 VA: $50.06 (medical, facility), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $33.63 (physician, facility), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 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.