29836 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 29836

2 of 2 payer prior-auth lists that name 29836 require prior authorization or set conditions: Neighborhood Health Partnership, UnitedHealthcare.

PayerPlanStatePrior authConditionsSinceSource
Neighborhood Health PartnershipNeighborhood Health PartnershipFLprior auth requiredsite of care: site of service reviewedSep 1, 2026Prior authorization requirements for Neighborhood Health Partnership Effective September 1, 2026
UnitedHealthcareUnitedHealthcare Complete (Individual & Family plans)Allprior auth requiredSep 1, 2026Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026

Payer coverage policies that name 29836

29836 appears in 15 coverage policies from Aetna, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCoblation (0475)listed, no stance (range 29800-29999)Jul 2, 2026payer document
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
UnitedHealthcareSurgery of the Elbow (2026T0551BB)
Arthroscopy, Surgical, Elbow		listed, no stanceAug 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (CS033.V)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Idaho Only) (CS033ID.D)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Kansas Only) (CS033KS.03)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Kentucky Only) (CS033KY.11)listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Nebraska Only) (CS033NE.V)
Arthroscopy, Surgical, Elbow		listed, no stanceJan 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for New Jersey Only) (CS033NJ.S)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for New Mexico Only) (CS033NM.D)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for North Carolina Only) (CSNCT0551.07)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Ohio Only) (CS033OH.E)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Pennsylvania Only) (CS033PA.T)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document
UnitedHealthcareSurgery of the Elbow (for Tennessee Only) (CS033TN.U)
Arthroscopy, Surgical, Elbow		listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Oct 1, 2026: PA removed, Oxford Health Plans
  • Oct 1, 2026: PA removed, UnitedHealthcare
  • Oct 1, 2026: PA removed, Surest
  • Oct 1, 2026: PA removed, UnitedHealthcare
  • Oct 1, 2026: PA removed, UnitedHealthcare
  • Oct 1, 2026: PA removed, UnitedHealthcare
  • Jul 1, 2026: conditions changed, Oxford Health Plans
  • Apr 1, 2026: PA removed, UnitedHealthcare Community Plan
  • Mar 1, 2026: conditions changed, UnitedHealthcare

Medicaid fee-for-service

Prior authorization required or conditional in WA.

  • AZ: $3026.13 (asc), effective Oct 1, 2026
  • CO: $473.93 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $426.28 (physician, non-facility), effective Jan 1, 2026
  • IL: $480.00 (practitioner), effective Jul 1, 2026
  • IN: $455.47 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $208.47 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $3607.39 (asc), effective Jan 1, 2026
  • LA: $265.13 (asc), effective Jul 1, 2012
  • MA: $2382.86 (asc), effective May 1, 2026
  • MS: $2808.67 (comprehensive, facility), effective Oct 1, 2025
  • ND: $2126.56 (physician, facility), effective Aug 1, 2026
  • NE: $1183.00 (asc), effective Jul 1, 2024
  • NY: $308.05 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $421.25 (physician), effective Jan 1, 2024
  • OK: $3291.10 (asc), effective Jan 1, 2026
  • TX: $2398.52 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $474.83 (medical), effective Jul 1, 2026
  • VT: $5634.17 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $366.60 (asc), effective Jul 1, 2026
  • WY: $3208.96 (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.