33992 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 33992

2 of 2 payer prior-auth lists that name 33992 require prior authorization or set conditions: Aetna.

PayerPlanStatePrior authConditionsSinceSource
AetnaMedicare AdvantageAllprior auth requiredOct 1, 2026Participating provider precertification list for Aetna®
AetnaCommercialAllprior auth requiredOct 1, 2026Participating provider precertification list for Aetna®

Payer coverage policies that name 33992

33992 appears in 20 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence.

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
AetnaFunctional Electrical Stimulation and Neuromuscular Electrical Stimulation (0677)listed, no stance (range 33016-33999)Sep 10, 2026payer document
AetnaHeart Transplantation (0586)listed, no stanceSep 11, 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
AetnaVentricular Assist Devices (0654)covered if criteria are metSep 10, 2026payer document
Blue Cross & Blue Shield of MississippiTotal Artificial Hearts And Implantable Ventricular Assist Devicesunproven / investigationalpayer document
Blue Cross Blue Shield of MassachusettsTotal Artificial Hearts and Implantable Ventricular Assist Devices (280)listed, no stancepayer document
Blue Shield of CaliforniaTotal Artificial Hearts and Implantable Ventricular Assist Devices (7.03.11)listed, no stancepayer document
CenteneVentricular Assist Devices (CP.MP.46)covered if criteria are metNov 1, 2025payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Ventricular Assist Devices and Total Artificial Hearts (SUR707.017)
CPT Codes 33927, 33928, 33929, 33975, 33976, 33977, 33978, 33979, 33980, 33981,
listed, no stanceJan 1, 2026payer document
Premera Blue CrossTotal Artificial Hearts and Implantable Ventricular Assist Devices (7.03.11)listed, no stanceDec 22, 2025payer document
RegenceVentricular Assist Devices and Total Artificial Hearts (Surgery 52)listed, no stanceJan 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in WA.

  • AZ: $186.89 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $147.10 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $128.33 (physician, non-facility), effective Jan 1, 2026
  • IL: $130.84 (practitioner), effective Apr 1, 2024
  • IN: $137.56 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KY: $167.66 (physician, facility), effective Jan 1, 2026
  • LA: $168.89 (professional), effective Feb 1, 2013
  • MA: $132.98 (physician_surgery), effective May 1, 2024
  • MS: $139.31 (comprehensive), effective Jul 1, 2026
  • ND: $167.09 (physician), effective Aug 1, 2026
  • NE: $333.44 (physician, non-facility), effective Jul 1, 2026
  • NY: $109.07 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $148.77 (physician), effective Jan 1, 2013
  • OK: $146.56 (physician, non-facility), effective Jul 1, 2026
  • TX: $19.44 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $142.94 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $93.83 (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.