92066 CPT® code: payer coverage and prior authorization3 of 3 payer prior-auth lists that name 92066 require prior authorization or set conditions: Molina Complete Care (Virginia), Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Molina Complete Care (Virginia) | Virginia state exceptions to the national Medicaid grid (exceptions only) | VA | prior auth under conditions | State exception; PA after 6 visits | Apr 1, 2025 | Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025 |
| Molina Complete Care (Virginia) | Medicaid | VA | prior auth under conditions | State exception; PA after 6 visits | Apr 1, 2025 | Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025 |
| Rocky Mountain Health Plans | Rocky Mountain Medicare Advantage D-SNP | CO | prior auth required | Feb 1, 2025 | Rocky Mountain Health Plans Medicare Advantage Dual-Special Needs Plans – prior authorization Effective February 1, 2025 |
92066 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Capital Blue Cross, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Orthoptic Vision Therapy (0489) | covered if criteria are met | Jul 28, 2025 | payer document |
| Blue Cross & Blue Shield of Mississippi | Orthoptic Training For The Treatment Of Vision Or Learning Disabilities (L.9.03.407) | covered if criteria are met | payer document | |
| Capital Blue Cross | Vision Therapy (MP 4.007) Procedure codes | covered if criteria are met | Apr 1, 2026 | payer document |
| Premera Blue Cross | Non-covered Services and Procedures Page | 9 of 30 | ∞ | listed, no stance | Jun 1, 2026 | payer document |
| Premera Blue Cross | Orthoptic Training for the Treatment of Vision or Learning Disabilities (9.03.508) | listed, no stance | May 11, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (2026T0072FF) | listed, no stance | Jan 1, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (CS131.P) | listed, no stance | Feb 1, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (for Kentucky Only) (CS131KY.07) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (for Nebraska Only) (CS131NE.P) | listed, no stance | Feb 1, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (for Ohio Only) (CS131OH.C) | listed, no stance | Mar 1, 2026 | payer document |
| UnitedHealthcare | Visual Information Processing Evaluation and Orthoptic and Vision Therapy (for Tennessee Only) (CS131TN.P) | listed, no stance | Mar 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.