30469 CPT® code: payer coverage and prior authorization33 of 34 payer prior-auth lists that name 30469 require prior authorization or set conditions: CarePlus Health Plans, Cigna, HealthSpring, Humana, Molina Complete Care (Virginia), Molina Healthcare of California, Molina Healthcare of Idaho, Molina Healthcare of Iowa, Molina Healthcare of Michigan, Molina Healthcare of Mississippi, Molina Healthcare of New Mexico, Molina Healthcare of Ohio, Molina Healthcare of Texas, Passport by Molina Healthcare (Kentucky).
30469 appears in 26 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, Blue Shield of California, Capital Blue Cross, Centene, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Coblation (0475) | not covered | Jul 2, 2026 | payer 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 | 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 | Radiofrequency Volumetric Tissue Reduction For Nasal Obstruction (A.7.01.156) | unproven / investigational | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction | not covered | Aug 6, 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 | Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction (7.01.156) | listed, no stance | 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) | Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction (SUR706.001) | listed, no stance | Sep 1, 2026 | payer document |
| Premera Blue Cross | Radiofrequency Volumetric Tissue Reduction for Nasal Obstruction (7.01.597) | listed, no stance | Oct 14, 2026 | payer document |
| Regence | Minimally Invasive Treatments of Nasal Valve Collapse or Obstruction (Surgery 209) | listed, no stance | Jan 1, 2026 | payer document |
| UnitedHealthcare | Ear, Nose, and Throat Procedures (MMP060.17) Radiofrequency Treatment of Nasal Valves for the Treatment of Nasal Airway Obstruction (e.g., VivAer ARC Stylus) | 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 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 Tennessee Only) (CS107TN.AE) | listed, no stance | May 1, 2026 | payer document |
Prior authorization required or conditional in CO.
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.