77012 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 77012 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue).
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona (AZ Blue) | Federal Employee Program (FEP) | AZ | prior auth under conditions | FEP Blue Focus only | Sep 1, 2026 | Federal Employee Program (FEP) Prior Authorization Requirements Code List (Updated 09/01/2026) |
77012 appears in 7 coverage policies from Aetna, Blue Shield of California.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Breast Biopsy Procedures (0269) | listed, no stance | May 14, 2026 | payer document |
| Aetna | Epidural Injection Technologies (0934) | listed, no stance | Apr 8, 2025 | payer document |
| Aetna | Ethanol Injection for Thyroid Lesions and Other Selected Indications (0395) | listed, no stance | Jul 6, 2026 | payer document |
| Aetna | Nusinersen (Spinraza) (0915) | listed, no stance | Sep 9, 2026 | payer document |
| Aetna | Sinus Surgeries (0937) | listed, no stance | Apr 10, 2026 | payer document |
| Aetna | Transforaminal Epidural Injections (0722) | listed, no stance | Oct 20, 2025 | payer document |
| Blue Shield of California | Trigger Point and Tender Point Injections (2.01.103) | listed, no stance | payer document |
Prior authorization required or conditional in FL, 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.