92025 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 92025

Payer coverage policies that name 92025

92025 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, BlueCross BlueShield of South Carolina, Capital Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCataract Surgery (0508)not coveredOct 9, 2026payer document
AetnaComputerized Corneal Topography (0130)covered if criteria are metMar 26, 2026payer document
AetnaContact Lenses and Eyeglasses (0126)covered if criteria are metMar 26, 2026payer document
AetnaCorneal Remodeling (0023)listed, no stanceOct 9, 2026payer document
Blue Cross & Blue Shield of MississippiCorneal Topographycomputerassisted Corneal Topographyphotokeratoscopy (L.9.03.408)unproven / investigationalpayer document
Blue Cross & Blue Shield of Rhode IslandCorneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopycovered if criteria are metAug 5, 2026payer document
Blue Cross & Blue Shield of Rhode IslandCorneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy sadcovered if criteria are metDec 18, 2024payer document
Blue Cross NCComputerized Corneal Topographylisted, no stanceJun 1, 2026payer document
BlueCross BlueShield of South CarolinaCorneal Topography/Computer-Assisted Corneal Topography/Photokeratoscopy (CAM 90305)listed, no stanceNov 1, 2025payer document
Capital Blue CrossComputer-Assisted Corneal Topography (MP 5.062)
Procedure codes
covered if criteria are metSep 1, 2026payer document
UnitedHealthcareCorneal Topography (MMP062.15)listed, no stanceSep 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in WA.

  • AZ: $40.35 (outpatient_hospital), effective Oct 1, 2021
  • CO: $30.16 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $13.77 (physician), effective Jan 1, 2026
  • IL: $23.71 (practitioner), effective Apr 1, 2024
  • IN: $13.06 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $19.50 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $21.74 (physician, facility), effective Jan 1, 2026
  • LA: $8.26 (professional), effective Feb 1, 2013
  • MA: $13.59 (physician_medicine), effective May 1, 2024
  • MS: $30.09 (comprehensive), effective Jul 1, 2020
  • MT: $35.24 (optometric, facility), effective Jul 1, 2025
  • ND: $19.53 (physician), effective Aug 1, 2026
  • NE: $16.45 (physician, non-facility), effective Jul 1, 2026
  • NY: $26.26 (ordered_ambulatory), effective Jul 24, 2026
  • OH: $12.51 (physician), effective Jan 1, 2024
  • OK: $14.77 (physician, non-facility), effective Jul 1, 2026
  • TX: $29.18 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Apr 1, 2016
  • VA: $32.12 (medical), effective Jul 1, 2026
  • VT: $45.81 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $11.08 (physician, facility), effective Jul 1, 2026
  • WY: $26.09 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.