`93146` CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 93146

11 of 11 payer prior-auth lists that name 93146 require prior authorization or set conditions: CarePlus Health Plans, Humana.

Payer	Plan	State	Prior auth	Since	Source
CarePlus Health Plans	CarePlus Health Plans	FL	prior auth required	Jan 1, 2027	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
Humana	Cardiology Services	All	prior auth required		Humana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
Humana	Cardiology Services	All	prior auth required		Humana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
Humana	Cardiology Services	All	prior auth required		Humana Prior Authorization List (PAL): Cardiovascular and Endoscopy Services
Humana	Humana D-SNP (FL)	FL	prior auth required	Jan 1, 2027	1 *New prior authorization requirement 787403FL0725 FLHMQSREN Humana Dual Fully Integrated Florida Prior Authorization and Notification List
Humana	Humana D-SNP (IL)	IL	prior auth required	Jan 1, 2027	Humana Dual Fully Integrated Illinois Prior Authorization and Notification List
Humana	Humana D-SNP (IN)	IN	prior auth required	Jan 1, 2027	*New prior authorization requirement 814403IN0825 H4939_INHN6Z6EN_C Humana PathWays Dual Care (HMO-POS D-SNP) Indiana Prior Authorization and Notification List
Humana	Humana D-SNP (MI)	MI	prior auth required	Jan 1, 2027	1 Humana Dual Highly Integrated Michigan Prior Authorization and Notification List
Humana	Humana D-SNP (SC)	SC	prior auth required	Jan 1, 2027	Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List
Humana	Humana D-SNP (VA)	VA	prior auth required	Jan 1, 2027	Virginia Prior Authorization and Notification List
Humana	Humana MA and D-SNP	All	prior auth required	Jan 1, 2027	Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List

Payer coverage policies that name 93146

93146 appears in 10 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Cross NC, Regence, UnitedHealthcare.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Body Surface Potential Mapping (0705)	listed, no stance (range 93000-93278)	Nov 24, 2025	payer document
Aetna	Cardiac Contractility Modulation (CCM) Therapy (0930) Impulse Dynamics' Optimizer system	not covered	Mar 3, 2026	payer document
Aetna	Nerve Blocks (0863)	listed, no stance (range 92920-93799)	Jul 23, 2026	payer document
Anthem	Carotid Sinus Baroreceptor Stimulation Devices (SURG.00124)	unproven / investigational	Feb 19, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Baroreflex Stimulation Devices	unproven / investigational		payer document
Blue Cross & Blue Shield of Rhode Island	Baroreflex Stimulation Devices MEDICAL COVERAGE POLICY \| 2	not covered	Sep 2, 2026	payer document
Blue Cross Blue Shield of Massachusetts	Baroreflex Stimulation Device (595)	unproven / investigational		payer document
Blue Cross NC	Baroreflex Stimulation Devices	listed, no stance	Oct 1, 2025	payer document
Regence	Baroreflex Stimulation Devices (Surgery 183)	listed, no stance	Dec 1, 2025	payer document
UnitedHealthcare	Omnibus Codes (MMP107.09) and report \| UnitedHealthcare	listed, no stance	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

AZ: $44.28 (outpatient_hospital, RF133), effective Jan 1, 2026
CO: $2.07 (chp_plus, non-facility), effective Jul 1, 2026
IL: $27.72 (practitioner), effective Jan 1, 2026
ND: $0.00 (physician), effective Aug 1, 2026
OH: $30.79 (code_changes, facility), effective Jan 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $56.91 (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.

93146 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 93146

Payer coverage policies that name 93146

Medicaid fee-for-service

`93146` CPT® code: payer coverage and prior authorization