92603 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 92603 require prior authorization or set conditions: UnitedHealthcare Community Plan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| UnitedHealthcare Community Plan | UnitedHealthcare Connected (Texas MMP) | TX | prior auth required | Jan 1, 2015 | Prior authorization requirements for UnitedHealthcare Connected (Medicare-Medicaid Plan) Texas Effective November 1, 2025 This list contains prior authorization review requirements for participating U |
92603 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC, Capital Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cochlear Implants and Auditory Brainstem Implants (0013) | covered if criteria are met (range 92603-92604) | Aug 18, 2026 | payer document |
| Aetna | Meniere's Disease and Related Disorders: Surgery (0514) | not covered (range 92601-92604) | Jul 2, 2026 | payer document |
| Aetna | Tinnitus Treatments (0406) | not covered (range 92601-92604) | Jul 10, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Cochlear Implants | covered if criteria are met | payer document | |
| Blue Cross NC | Cochlear Implant | listed, no stance | Aug 1, 2026 | payer document |
| Capital Blue Cross | Cochlear Implant (MP 1.023) Procedure Codes | covered if criteria are met | Sep 1, 2026 | payer document |
| Regence | Cochlear Implant (Surgery 08) | listed, no stance | May 1, 2026 | payer document |
| Regence | Cochlear Implant | listed, no stance | 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.