90880 CPT® code: payer coverage and prior authorization90880 appears in 13 coverage policies from Aetna, Blue Cross Blue Shield of Massachusetts, BlueCross BlueShield of South Carolina.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Alopecia Areata (0423) | not covered | Jul 10, 2026 | payer document |
| Aetna | Antiemetic Therapy (0724) | not covered | Jul 17, 2026 | payer document |
| Aetna | Chronic Pelvic Pain, Endometriosis, and Other Indications: Selected Treatments (0754) | not covered | Oct 30, 2025 | payer document |
| Aetna | Complementary and Alternative Medicine (0388) | not covered | Jun 25, 2026 | payer document |
| Aetna | Complex Regional Pain Syndrome (CRPS): Treatments (0447) | not covered | Jul 16, 2026 | payer document |
| Aetna | Enuresis (0431) | not covered | Jul 1, 2026 | payer document |
| Aetna | Eye Movement Desensitization and Reprocessing (EMDR) Therapy (0583) | listed, no stance (range 90832-90899) | Sep 18, 2026 | payer document |
| Aetna | Hyperhidrosis (0504) | not covered | Aug 11, 2026 | payer document |
| Aetna | Multiple Sclerosis (0264) | not covered | Sep 10, 2026 | payer document |
| Aetna | Temporomandibular Disorders (0028) | not covered | Mar 12, 2026 | payer document |
| Aetna | Vulvodynia and Vulvar Vestibulitis Treatments (0759) | not covered | Nov 12, 2025 | payer document |
| Blue Cross Blue Shield of Massachusetts | Complementary Medicine (178) | not covered | payer document | |
| BlueCross BlueShield of South Carolina | Hypnosis (CAM 20106) | listed, no stance | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.