92979 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 92979

Payer coverage policies that name 92979

92979 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Shield of California.

PayerPolicyRole in policyReviewedDocument
AetnaIntravascular Optical Coherence Tomography (0829)covered if criteria are metApr 27, 2026payer document
AetnaIntravascular Ultrasound (0382)covered if criteria are metMay 26, 2026payer document
AetnaNear-Infrared (NIR) Spectroscopy (0796)listed, no stanceNov 19, 2025payer document
AetnaNerve Blocks (0863)listed, no stance (range 92920-93799)Jul 23, 2026payer document
Blue Cross & Blue Shield of MississippiOptical Coherence Tomography For Imaging Of Coronary Arteries (L.2.02.410)unproven / investigationalpayer document
Blue Shield of CaliforniaBSC6.02 Elective Percutaneous Coronary Intervention (PCI)listed, no stancepayer document

Medicaid fee-for-service

  • AZ: $86.51 (physician, AHCCCS PT 08, facility), effective Oct 1, 2020
  • CO: $59.31 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $56.02 (physician), effective Jan 1, 2026
  • IL: $74.20 (practitioner), effective Jul 1, 2026
  • IN: $55.87 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KY: $45.00 (asc), effective Jan 1, 2026
  • LA: $44.89 (professional), effective Feb 1, 2013
  • MA: $53.85 (physician_medicine), effective May 1, 2024
  • MS: $56.49 (comprehensive), effective Jul 1, 2026
  • ND: $76.60 (physician), effective Aug 1, 2026
  • NE: $82.26 (physician, non-facility), effective Jul 1, 2026
  • NY: $134.92 (physician_medicine, facility), effective Jul 1, 2026
  • OH: $120.25 (physician), effective Jan 1, 2000
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $62.03 (physician, Physician, facility), effective Sep 1, 2025
  • VA: $48.90 (medical), effective Jul 1, 2009
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $34.64 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.