69728 CPT® code: payer coverage and prior authorization2 of 2 payer prior-auth lists that name 69728 require prior authorization or set conditions: Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Rocky Mountain Health Plans | Rocky Mountain Health Plans CHP+ | CO | prior auth required | Oct 1, 2026 | Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026 | |
| Rocky Mountain Health Plans | Rocky Mountain Medicare Advantage D-SNP | CO | prior auth required | Feb 1, 2025 | Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025 |
69728 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Centene, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Bone-Anchored Hearing Aids (0403) | covered if criteria are met | Jul 22, 2026 | payer document |
| Aetna | Cochlear Implants and Auditory Brainstem Implants (0013) | covered if criteria are met | Aug 18, 2026 | payer document |
| Aetna | Grid Monitoring and Intraoperative Electroencephalography (0289) | listed, no stance (range 69720-69745) | Apr 17, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | covered if criteria are met (range 69720-69745) | Jun 19, 2026 | payer document |
| Aetna | Myringotomy and Tympanostomy Tube (0418) | listed, no stance (range 69420-69799) | Jun 30, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Implantable Boneconduction And Boneanchored Hearing Aids | covered if criteria are met | payer document | |
| Blue Cross Blue Shield of Massachusetts | Implantable Bone-Conduction and Bone-Anchored Hearing A (479) | listed, no stance | payer document | |
| Blue Cross NC | Implantable Bone Conduction Hearing Aids | listed, no stance | Feb 1, 2026 | payer document |
| Centene | Bone-Anchored Hearing Aid (CP.MP.93) | covered if criteria are met | May 1, 2026 | payer document |
| Regence | Transcutaneous Bone-Conduction and Bone-Anchored Hearing Aids (Surgery 121) | listed, no stance | Apr 1, 2026 | payer document |
Prior authorization required or conditional in LA, VA, WA.
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.