66852 CPT® code: payer coverage and prior authorization2 of 2 payer prior-auth lists that name 66852 require prior authorization or set conditions: Neighborhood Health Partnership, UnitedHealthcare.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Neighborhood Health Partnership | Neighborhood Health Partnership | FL | prior auth under conditions | site of care: outpatient hospital; not in AK, IL, GU, MA, PR, RI, TX, UT, VI, WI | Sep 1, 2026 | Prior authorization requirements for Neighborhood Health Partnership Effective September 1, 2026 |
| UnitedHealthcare | UnitedHealthcare Complete (Individual & Family plans) | All | prior auth under conditions | site of care: outpatient hospital | Sep 1, 2026 | Prior authorization requirements for UnitedHealthcare Complete Effective September 1, 2026 |
66852 appears in 10 coverage policies from Aetna, Anthem.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cataract Surgery (0508) Femtosecond laser-assisted cataract surgery, capsular tension rings (e.g., StabilEyes) | covered if criteria are met (range 66830-66986) | Oct 9, 2026 | payer document |
| Aetna | Corneal Pachymetry (0681) | not covered (range 66830-66984) | Oct 15, 2025 | payer document |
| Aetna | Critical Flicker Fusion (0860) | listed, no stance (range 66830-66986) | Dec 24, 2025 | payer document |
| Aetna | Dexamethasone Ophthalmic Implant (Ozurdex) and Insert (Dextenza) (0795) | listed, no stance (range 66840-66940) | Oct 5, 2026 | payer document |
| Aetna | Glaucoma Surgery (0484) | listed, no stance | Jul 14, 2026 | payer document |
| Aetna | Intracameral Implants (1065) | listed, no stance (range 66820-66991) | Jun 30, 2026 | payer document |
| Aetna | Vitrectomy (0393) | not covered | Jul 8, 2026 | payer document |
| Aetna | YAG Laser in Ophthalmology and Other Selected Indications (0354) | listed, no stance (range 66830-66984) | May 21, 2026 | payer document |
| Anthem | Cataract Removal Surgery for Adults (CG-SURG-40) | covered if criteria are met | Aug 13, 2026 | payer document |
| Anthem | Refractive Surgery (CG-SURG-77) | not covered | Nov 6, 2025 | payer document |
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.