33882 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 33882

13 of 13 payer prior-auth lists that name 33882 require prior authorization or set conditions: Aetna, CarePlus Health Plans, Humana.

PayerPlanStatePrior authConditionsSinceSource
AetnaCommercialAllprior auth requiredNot required for Student Health or Allina Health | Aetna plansOct 1, 2026Participating provider precertification list for Aetna®
AetnaMedicare AdvantageAllprior auth requiredNot required for Student Health or Allina Health | Aetna plansOct 1, 2026Participating provider precertification list for Aetna®
CarePlus Health PlansCarePlus Health PlansFLprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
HumanaCardiology ServicesAllprior auth requiredHumana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
HumanaCardiology ServicesAllprior auth requiredHumana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
HumanaCardiology ServicesAllprior auth requiredHumana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
HumanaHumana D-SNP (FL)FLprior auth requiredJan 1, 20271 *New prior authorization requirement 787403FL0725 FLHMQSREN Humana Dual Fully Integrated Florida Prior Authorization and Notification List
HumanaHumana D-SNP (IL)ILprior auth requiredJan 1, 2027Humana Dual Fully Integrated Illinois Prior Authorization and Notification List
HumanaHumana D-SNP (IN)INprior auth requiredJan 1, 2027*New prior authorization requirement 814403IN0825 H4939_INHN6Z6EN_C Humana PathWays Dual Care (HMO-POS D-SNP) Indiana Prior Authorization and Notification List
HumanaHumana D-SNP (MI)MIprior auth requiredJan 1, 20271 Humana Dual Highly Integrated Michigan Prior Authorization and Notification List
HumanaHumana D-SNP (SC)SCprior auth requiredJan 1, 2027Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List
HumanaHumana D-SNP (VA)VAprior auth requiredJan 1, 2027Virginia Prior Authorization and Notification List
HumanaHumana MA and D-SNPAllprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List

Payer coverage policies that name 33882

33882 appears in 19 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, BlueCross BlueShield of South Carolina, Capital Blue Cross.

PayerPolicyRole in policyReviewedDocument
AetnaAnesthetic and Antiemetic Infusion Pumps (0607)listed, no stance (range 33016-37799)Sep 9, 2026payer document
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 33010-37799)Jul 30, 2026payer document
AetnaCardiovascular Ultrafiltration (0741)listed, no stance (range 33010-37790)Oct 30, 2025payer document
AetnaCryoanalgesia and Therapeutic Cold (0297)listed, no stance (range 33016-33999)Apr 14, 2026payer document
AetnaEndovascular Repair of Aortic Diseases (0651)covered if criteria are metSep 25, 2026payer document
AetnaFunctional Electrical Stimulation and Neuromuscular Electrical Stimulation (0677)listed, no stance (range 33016-33999)Sep 10, 2026payer document
AetnaInpatient Admission Prior to Surgery (Preop Days) (0255)listed, no stance (range 33016-33980)May 13, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 33880-33884)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 33016-33999)Jul 1, 2026payer document
AetnaNegative Pressure Wound Therapy (0334)listed, no stance (range 33016-37799)Jun 8, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 33016-33999)Jul 23, 2026payer document
AetnaNitric Oxide, Inhalational (INO) (0518)not covered (range 33016-37790)Jul 2, 2026payer document
AetnaProcalcitonin (PCT) (0771)listed, no stance (range 33016-33997)Nov 13, 2025payer document
AetnaStereolithographic Models and Implants (0613)listed, no stance (range 33010-37790)Sep 3, 2026payer document
Blue Cross & Blue Shield of MississippiEndovascular Stent Grafts For Disorders Of The Thoracic Aortacovered if criteria are metpayer document
Blue Cross Blue Shield of MassachusettsEndovascularStnt 'grafts (233)listed, no stancepayer document
Blue Shield of CaliforniaEndovascular Stent Grafts for Disorders of the Thoracic Aorta (7.01.86)listed, no stancepayer document
BlueCross BlueShield of South CarolinaEndovascular Stent Grafts for Disorders of the Thoracic Aorta (CAM 70186)listed, no stanceAug 1, 2026payer document
Capital Blue CrossEndovascular Stent Grafts for Disorders of the Thoracic Aorta (MP 1.132)
Procedure codes
covered if criteria are metMar 1, 2026payer document

Medicaid fee-for-service

  • AZ: $1790.77 (physician, AHCCCS PT 08, facility), effective Jan 1, 2026
  • CO: $1363.10 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1371.07 (physician, facility), effective Jan 1, 2026
  • IL: $1320.51 (practitioner), effective Jan 1, 2026
  • IN: $1316.07 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $779.06 (default, Exempt Physician), effective Jan 1, 2026
  • KY: $1513.65 (physician, facility), effective Jan 1, 2026
  • LA: $1457.14 (professional), effective Jan 1, 2026
  • MS: $1482.72 (comprehensive), effective Jul 1, 2026
  • ND: $1801.99 (physician), effective Aug 1, 2026
  • NY: $951.46 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1389.47 (code_changes), effective Jan 1, 2026
  • TX: $1410.84 (physician, Physician, facility), effective Jan 1, 2026
  • VA: $1549.76 (medical, facility), effective Jan 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $1009.77 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.