29799 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 29799

2 of 2 payer prior-auth lists that name 29799 require prior authorization or set conditions: Humana, UnitedHealthcare.

PayerPlanStatePrior authConditionsSinceSource
HumanaOak Street HealthAllprior auth requiredOak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management
UnitedHealthcareUnitedHealthcare Complete (Individual & Family plans)Allprior auth requiredSep 1, 2026Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026

Payer coverage policies that name 29799

29799 appears in 5 coverage policies from Aetna, Anthem, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaRemote Ischemic Conditioning (0814)listed, no stance (range 20000-29999)Nov 20, 2025payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 20100-29999)Jul 29, 2026payer document
AnthemPrefabricated External Infant Ear Molding Systems (CG-MED-96)covered if criteria are metFeb 19, 2026payer document
AnthemStrapping (CG-MED-54)not coveredNov 6, 2025payer document
UnitedHealthcareOmnibus Codes (for Ohio Only) (CS087OH.G)listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Oct 1, 2026: PA removed, UnitedHealthcare
  • Oct 1, 2026: PA removed, Oxford Health Plans
  • Jul 24, 2026: PA removed, Humana
  • Jul 1, 2026: PA removed, Humana
  • Apr 1, 2026: PA removed, UnitedHealthcare Community Plan

Medicaid fee-for-service

Prior authorization required or conditional in FL, KY, VT, WV, WY.

  • AZ: $102.36 (outpatient_hospital), effective Oct 1, 2021
  • FL: $248.81 (physician, non-facility), effective Jan 1, 2026
  • IN: $0.00 (professional, facility), effective Oct 15, 2020
  • KY: $43.50 (physician, facility), effective Jan 1, 2026
  • MS: $123.40 (comprehensive), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • OK: $0.00 (physician, non-facility), effective Jul 1, 2026
  • TX: $0.00 (physician, Physician, facility), effective Jan 1, 2010
  • VT: $126.18 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $71.86 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.