92550 CPT® code: payer coverage and prior authorization92550 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, Centene, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Alzheimer's Disease Tests (0349) | not covered | Aug 4, 2026 | payer document |
| Aetna | Attention Deficit/Hyperactivity Disorder (0426) EEG theta/beta power ratio, Gut microbiota profile, polygenic risk score, evaluation of kynurenine pathway | not covered | Jul 7, 2026 | payer document |
| Aetna | Autism Spectrum Disorders (0648) | not covered | Oct 2, 2025 | payer document |
| Aetna | Endolymphatic Hydrops (Meniere's Disease) Tests (0571) | not covered | Sep 1, 2026 | payer document |
| Aetna | Multiple Sclerosis (0264) | not covered | Sep 10, 2026 | payer document |
| Aetna | Myringotomy and Tympanostomy Tube (0418) | listed, no stance | Jun 30, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Evaluation of Hearing Impairment/Loss MEDICAL COVERAGE POLICY | 2 | covered if criteria are met | Jun 3, 2026 | payer document |
| Centene | Attention Deficit Hyperactivity Disorder Assessment and Treatment (CP.BH.124) | not covered | Mar 1, 2024 | payer document |
| Centene | Attention Deficit Hyperactivity Disorder Assessment and Treatment (CP.MP.124) | not covered | Feb 1, 2022 | payer document |
| Premera Blue Cross | Hearing Aids (Excludes Implantable Devices) | listed, no stance | Sep 1, 2026 | payer document |
Prior authorization required or conditional in WV.
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.