27458 CPT® code: payer coverage and prior authorization27458 appears in 8 coverage policies from Aetna, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bone and Tendon Graft Substitutes and Adjuncts (0411) | listed, no stance (range 27301-27499) | Aug 18, 2026 | payer document |
| Aetna | Distraction Osteosynthesis (0220) | covered if criteria are met | Apr 9, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 27301-27599) | Jun 19, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 27301-27599) | 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 |
| Premera Blue Cross | Non-covered Experimental/Investigational Services Page | 28 of 38 | ∞ | listed, no stance | Oct 1, 2026 | payer document |
| UnitedHealthcare | Omnibus Codes (MMP107.09) for primary procedure) | the UnitedHealthcare | listed, no stance | Jun 1, 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.