76802 CPT® code: payer coverage and prior authorization76802 appears in 7 coverage policies from Aetna, Anthem, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, BlueCross BlueShield of South Carolina.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Prenatal Care Provided by Primary Care Physicians (0047) | listed, no stance (range 76801-76817) | Oct 6, 2026 | payer document |
| Aetna | Transvaginal Ultrasonography (0530) | listed, no stance | Aug 20, 2026 | payer document |
| Aetna | Ultrasound for Pregnancy (0199) | listed, no stance | Mar 24, 2026 | payer document |
| Anthem | Maternity Ultrasound in the Outpatient Setting (CG-RAD-26) | covered if criteria are met (range 76801-76802) | Nov 6, 2025 | payer document |
| Blue Cross Blue Shield of Massachusetts | Obstetrical Ultrasound (007) | listed, no stance | payer document | |
| Blue Cross NC | Maternal and Fetal Diagnostics | listed, no stance | Mar 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Maternity/Obstetrical Care Benefits (CAM 366) 59020 | FETAL CONTRACTION STRESS TEST | listed, no stance | Feb 1, 2026 | payer document |
Prior authorization required or conditional in KY.
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.