41530 CPT® code: payer coverage and prior authorization22 of 22 payer prior-auth lists that name 41530 require prior authorization or set conditions: Blue Shield of California, CarePlus Health Plans, Cigna, HealthSpring, Humana, Rocky Mountain Health Plans, UnitedHealthcare.
41530 appears in 25 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 Cross NC, BlueCross BlueShield of South Carolina, Capital Blue Cross, Cigna, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Premera Blue Cross, Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Obstructive Sleep Apnea in Adults (0004) | not covered | Oct 6, 2026 | payer document |
| Aetna | Obstructive Sleep Apnea in Children (0752) | covered if criteria are met | Oct 30, 2025 | payer document |
| Anthem | Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring (SURG.00129) | not covered | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Sleep Disorders (L.2.01.415) | not covered | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome sa | not covered | Apr 1, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Surgical treatment of Snoring and Obstructive Sleep Apnea Syndrome (130) | unproven / investigational | payer document | |
| Blue Cross NC | Surgery for Obstructive Sleep Apnea and Upper Airway Resistance Syndrome | listed, no stance | Mar 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome (CAM 701101) 21685 | Hyoid myotomy and suspension | listed, no stance | Jul 1, 2026 | payer document |
| Capital Blue Cross | Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors (MP 1.084) Procedure codes | unproven / investigational | May 1, 2026 | payer document |
| Capital Blue Cross | Surgical Treatment of Sleep Apnea and Snoring (MP 1.128) Procedure codes | unproven / investigational | Apr 1, 2026 | payer document |
| Cigna | Surgical Treatments for Obstructive Sleep Apnea (0158) | listed, no stance | Jun 15, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Sleep Related Breathing Disorders: Surgical Management (SUR706.009) CPT Codes 21083, 21085, 21127, 21141, 21142, 21143, 21193, 21194, 21195, | listed, no stance | Jan 1, 2026 | payer document |
| Premera Blue Cross | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome (7.01.554) Page | 8 of 33 | ∞ | listed, no stance | Jul 27, 2026 | payer document |
| Regence | Surgeries for Snoring, Obstructive Sleep Apnea Syndrome, and Upper Airway Resistance Syndrome (Surgery 166) | listed, no stance | Dec 1, 2025 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (2026T0525UU) | listed, no stance | Apr 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (CS116.AM) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Kansas Only) (CS116KS.03) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Kentucky Only) (CS116KY.16) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Nebraska Only) (CS116NE.AI) | listed, no stance | Aug 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for New Jersey Only) (CS116NJ.AK) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for New Mexico Only) (CS116NM.E) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Ohio Only) (CS116OH.G) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Pennsylvania Only) (CS116PA.AL) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Obstructive and Central Sleep Apnea Treatment (for Tennessee Only) (CS116TN.AN) | listed, no stance | Jul 1, 2026 | payer document |
| UnitedHealthcare | Sleep Apnea Surgical Treatments (MMP087.15) Radiofrequency Submucosal Ablation of the Soft Palate and/or Tongue Base | listed, no stance | Sep 1, 2026 | payer document |
Prior authorization required or conditional in WA, WV.
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.