`90668` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 90668

Payer coverage policies that name 90668

90668 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, BlueCross BlueShield of South Carolina.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Influenza Vaccines (0035)	listed, no stance	Oct 8, 2026	payer document
Aetna	Injectable Medications (0020)	listed, no stance (range 90666-90676)	Mar 5, 2026	payer document
Blue Cross & Blue Shield of Rhode Island	Immunizations Adult and Pediatric	not covered	Jun 9, 2026	payer document
BlueCross BlueShield of South Carolina	Preventive Services for Non-Grandfathered (PPACA) Plans: Immunizations (CAM 109)	listed, no stance	Apr 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

KS: $0.00 (default), effective Jul 1, 2010
ND: $0.00 (physician), effective Aug 1, 2026
OH: $4.28 (provider_administered_drugs), effective Jan 1, 2011
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.

90668 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 90668

Payer coverage policies that name 90668

Medicaid fee-for-service

`90668` CPT® code: payer coverage and prior authorization