93227 CPT® code: payer coverage and prior authorization2 of 8 payer prior-auth lists that name 93227 require prior authorization or set conditions: Molina Healthcare of Ohio.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Molina Healthcare of Ohio | Medicaid and MyCare Ohio (MMP) Medicaid | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
| Molina Healthcare of Ohio | Exchange | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
93227 appears in 10 coverage policies from Aetna, Anthem, Blue Cross NC, Centene, 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 Event Monitors (0073) | listed, no stance | Apr 7, 2026 | payer document |
| Aetna | Holter Monitors (0019) | covered if criteria are met | Mar 13, 2026 | payer document |
| Aetna | Maze Procedure (0225) | listed, no stance (range 93224-93227) | Jun 29, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 92920-93799) | Jul 23, 2026 | payer document |
| Aetna | Tilt Table Testing (0299) | listed, no stance (range 93224-93278) | May 15, 2026 | payer document |
| Anthem | External Ambulatory Cardiac Monitors (CG-MED-40) | covered if criteria are met | Feb 19, 2026 | payer document |
| Blue Cross NC | Ambulatory Event Monitors and Outpatient Cardiac Telemetry | listed, no stance | Jun 1, 2026 | payer document |
| Centene | Holter Monitors (CP.MP.113) | covered if criteria are met | Sep 1, 2023 | payer document |
| UnitedHealthcare | Ambulatory Electrocardiographic (AECG) Monitoring (MMP109.19) Holter Monitor | listed, no stance | Sep 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.