32998 CPT® code: payer coverage and prior authorization9 of 11 payer prior-auth lists that name 32998 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Molina Complete Care (Virginia), Molina Healthcare of Idaho, Molina Healthcare of Iowa, Molina Healthcare of Mississippi, Molina Healthcare of Nevada, Molina Healthcare of Ohio, Molina Healthcare of Utah.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jul 1, 2026 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
| Molina Complete Care (Virginia) | Medicaid | VA | prior auth required | Apr 1, 2025 | Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025 | |
| Molina Healthcare of Idaho | Medicaid | ID | prior auth required | Jan 1, 2025 | Idaho Medicaid Prior Auth (PA) Code Matrix and Idaho code/benefit exceptions, Q1 2025 | |
| Molina Healthcare of Iowa | Medicaid | IA | prior auth required | Jul 1, 2023 | IA Prior Authorization Matrix, effective Q3 2023 | |
| Molina Healthcare of Mississippi | Medicaid | MS | prior auth required | adults via Evolent | Jan 1, 2025 | Mississippi Medicaid Prior Auth (PA) Code Matrix and exceptions, effective Q1 2025 |
| Molina Healthcare of Nevada | Medicaid | NV | prior auth required | adults via NCH | Oct 1, 2022 | Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022 |
| Molina Healthcare of Ohio | Medicaid and MyCare Ohio (MMP) Medicaid | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
| Molina Healthcare of Ohio | Exchange | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
| Molina Healthcare of Utah | Medicaid | UT | prior auth required | Jan 1, 2025 | Utah Medicaid Prior Auth (PA) Code Matrix and Utah code/benefit exceptions, Q1 2025 |
32998 appears in 15 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 Shield of California, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Anesthetic and Antiemetic Infusion Pumps (0607) | listed, no stance (range 32035-32999) | Sep 9, 2026 | payer document |
| Aetna | Cryoablation (0100) | not covered | Aug 4, 2026 | payer document |
| Aetna | Radiofrequency Tumor Ablation (0492) Radiofrequency ablation (RFA) for adrenal gland | covered if criteria are met | Oct 5, 2026 | payer document |
| Anthem | Cryosurgical, Radiofrequency, Microwave or Laser Ablation to Treat Solid Tumors Outside the Liver (CG-SURG-61) | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Radiofrequency Ablation Of Miscellaneous Solid Tumors Excluding Liver Tumors | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors | covered if criteria are met | Oct 15, 2025 | payer document |
| Blue Cross Blue Shield of Massachusetts | Radiofrequency Ablation of Miscellaneous Solid Tumors Exluding Liver Tumors (259) | covered if criteria are met | payer document | |
| Blue Shield of California | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors (7.01.95) | listed, no stance | payer document | |
| Capital Blue Cross | Microwave Tumor Ablation (MP 2.090) Procedure codes | covered if criteria are met | Feb 1, 2026 | payer document |
| Capital Blue Cross | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors (MP 1.084) Procedure codes | covered if criteria are met | May 1, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Microwave Tumor Ablation (SUR701.038) | listed, no stance | Dec 15, 2025 | payer document |
| Premera Blue Cross | Microwave Tumor Ablation (7.01.133) | listed, no stance | Dec 22, 2025 | payer document |
| Premera Blue Cross | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors (7.01.95) | listed, no stance | Nov 10, 2025 | payer document |
| Regence | Microwave Tumor Ablation (Surgery 189) | listed, no stance | Dec 1, 2025 | payer document |
| Regence | Radiofrequency Ablation (RFA) of Tumors Other than Liver (Surgery 92) | listed, no stance | 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.