27665 CPT® code: payer coverage and prior authorization3 of 3 payer prior-auth lists that name 27665 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Neighborhood Health Partnership, UnitedHealthcare.
| 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) |
| 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 |
27665 appears in 17 coverage policies from Aetna, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bupivacaine Liposome (Exparel) (0941) | listed, no stance (range 27600-27899) | Jul 30, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 27600-27899) | Jun 19, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 27600-27899) | 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 |
| Aetna | Skin and Soft Tissue Substitutes (0244) | not covered (range 27650-27692) | Jul 29, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (CS068.AD) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (2026T0553JJ) | listed, no stance | Sep 10, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Idaho Only) (CS068ID.D) | listed, no stance | Aug 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Kansas Only) (CS068KS.05) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Kentucky Only) (CS068KY.13) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Nebraska Only) (CS068NE.AD) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for New Jersey Only) (CS068NJ.Z) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for New Mexico Only) (CS068NM.F) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for North Carolina Only) (CSNCT0553.08) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Ohio Only) (CS068OH.G) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Pennsylvania Only) (CS068PA.AA) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Surgery of the Knee (for Tennessee Only) (CS068TN.AA) | listed, no stance | Jul 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.