90747 CPT® code: payer coverage and prior authorization90747 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, BlueCross BlueShield of South Carolina.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Hepatitis B Vaccine (0410) | covered if criteria are met (range 90739-90748) | Jul 6, 2026 | payer document |
| Aetna | Infertility (0327) | covered if criteria are met (range 90739-90747) | Jul 16, 2026 | payer document |
| Aetna | Injectable Medications (0020) | listed, no stance (range 90713-90749) | Mar 5, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Immunizations Adult and Pediatric MEDICAL COVERAGE POLICY | 5 | covered if criteria are met | Jun 9, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Preventive Services for Non-Grandfathered (PPACA) Plans: Immunizations (CAM 109) Diphtheria | 90719 | Diphtheria toxoid, for intramuscular use | Both | - | listed, no stance | Apr 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.