3126F CPT® code: payer coverage and prior authorization3126F appears in 7 coverage policies from Aetna, Blue Cross NC, BlueCross BlueShield of South Carolina.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Coblation (0475) | listed, no stance (range 31254-31288) | Jul 2, 2026 | payer document |
| Aetna | Devices for Post-Operative Use Following Endoscopic Sinus Surgery (0840) | listed, no stance (range 31237-31294) | Dec 4, 2025 | payer document |
| Aetna | Myringotomy and Tympanostomy Tube (0418) | listed, no stance (range 31231-31297) | Jun 30, 2026 | payer document |
| Aetna | Septoplasty and Rhinoplasty (0005) | listed, no stance (range 31237-31294) | Mar 12, 2026 | payer document |
| Aetna | Tezepelumab-ekko (Tezspire) (1003) | listed, no stance (range 30000-31299) | 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 |
| BlueCross BlueShield of South Carolina | Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis (CAM 701155) | listed, no stance (range 31231-31294) | Nov 1, 2025 | payer document |
Prior authorization required or conditional in IN.
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.