74740 CPT® code: payer coverage and prior authorization2 of 2 payer prior-auth lists that name 74740 require prior authorization or set conditions: Humana, UnitedHealthcare.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Humana | Oak Street Health | All | prior auth required | Oak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management | ||
| UnitedHealthcare | UnitedHealthcare Mid-Atlantic Health Plans | All | prior auth required | Oct 1, 2026 | Prior authorization requirements for UnitedHealthcare Mid-Atlantic Health Plans Effective October 1, 2026 |
74740 appears in 10 coverage policies from Aetna, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Cigna, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Infertility (0327) | covered if criteria are met | Jul 16, 2026 | payer document |
| Aetna | Recurrent Pregnancy Loss (0348) | covered if criteria are met | Jun 23, 2026 | payer document |
| Aetna | Transcervical Balloon Tuboplasty (0347) | listed, no stance | May 21, 2026 | payer document |
| Aetna | Tubal Sterilization (0657) | covered if criteria are met | Oct 7, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Assisted Reproductive Servies Infertility Services (086) | listed, no stance | payer document | |
| Blue Cross NC | Infertility Diagnosis and Treatment – B0006 | listed, no stance | Mar 1, 2026 | payer document |
| Cigna | Infertility Services (0089) | covered if criteria are met | Jun 15, 2025 | payer document |
| Premera Blue Cross | Infertility and Assisted Reproduction Services | listed, no stance | May 11, 2026 | payer document |
| Premera Blue Cross | Preventive Care | covered if criteria are met | Sep 21, 2026 | payer document |
| UnitedHealthcare | Infertility Diagnosis, Treatment, and Fertility Preservation (2026T0270NN) | listed, no stance | Jun 1, 2026 | 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.