30468 CPT® code: payer coverage and prior authorization55 of 55 payer prior-auth lists that name 30468 require prior authorization or set conditions: Blue Shield of California Promise Health Plan, CarePlus Health Plans, Cigna, Humana, Molina Complete Care (Virginia), Molina Healthcare of Arizona, Molina Healthcare of California, Molina Healthcare of Florida, Molina Healthcare of Idaho, Molina Healthcare of Illinois, Molina Healthcare of Iowa, Molina Healthcare of Michigan, Molina Healthcare of Mississippi, Molina Healthcare of Nevada, Molina Healthcare of New Mexico, Molina Healthcare of Ohio, Molina Healthcare of South Carolina, Molina Healthcare of Texas, Molina Healthcare of Utah, Molina Healthcare of Washington, and others.
30468 appears in 30 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Blue Shield of California, BlueCross BlueShield of South Carolina, Capital Blue Cross, Centene, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Obstructive Sleep Apnea in Adults (0004) | not covered (range 30150-31235) | Oct 6, 2026 | payer document |
| Aetna | Obstructive Sleep Apnea in Children (0752) | not covered (range 30000-30999) | Oct 30, 2025 | payer document |
| Aetna | Septoplasty and Rhinoplasty (0005) | not covered | Mar 12, 2026 | payer document |
| Aetna | Tezepelumab-ekko (Tezspire) (1003) | listed, no stance (range 30000-31299) | Aug 6, 2026 | payer document |
| Anthem | Nasal Valve Repair (SURG.00079) | unproven / investigational | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Absorbable Nasal Implant For Treatment Of Nasal Valve Collapse (A.7.01.163) | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse sa | not covered | May 20, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (186) | unproven / investigational | payer document | |
| Blue Cross NC | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse | listed, no stance | Aug 1, 2026 | payer document |
| Blue Cross NC | Professional Pathology Billing Requirements AHS – R2169 | listed, no stance (range 3011F-3210F) | Mar 1, 2024 | payer document |
| Blue Shield of California | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (7.01.163) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (CAM 701163) | listed, no stance | Oct 1, 2025 | payer document |
| Capital Blue Cross | Experimental and Investigational Procedures (MP 4.002) Procedure codes: Face, head, neck | listed, no stance | Sep 1, 2026 | payer document |
| Centene | Repair of Nasal Valve Compromise (CP.MP.210) | not covered | Apr 1, 2026 | payer document |
| Cigna | Partial Rhinectomy, Rhinoplasty, Vestibular Stenosis Repair and Septoplasty (0119) | unproven / investigational | Jul 1, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (SUR706.017) | listed, no stance | Dec 15, 2025 | payer document |
| Premera Blue Cross | Absorbable Nasal Implant for Treatment of Nasal Valve Collapse (7.01.163) | listed, no stance | Dec 8, 2025 | payer document |
| UnitedHealthcare | Ear, Nose, and Throat Procedures (MMP060.17) Rhinoplasty | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (MP.019.34) | listed, no stance | Apr 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (CS107.AF) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Idaho Only) (CS107ID.C) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Kansas Only) (CS107KS.02) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Kentucky Only) (CS107KY.13) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Nebraska Only) (CS107NE.Y) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for New Jersey Only) (CS107NJ.AA) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for New Mexico Only) (CS107NM.C) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for North Carolina Only) (CSNC.MP.019.09) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Ohio Only) (CS107OH.D) | listed, no stance | Aug 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Pennsylvania Only) (CS107PA.AE) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Rhinoplasty and Other Nasal Procedures (for Tennessee Only) (CS107TN.AE) | listed, no stance | May 1, 2026 | payer document |
Prior authorization required or conditional in VT, WV.
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.