93786 CPT® code: payer coverage and prior authorization2 of 9 payer prior-auth lists that name 93786 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 |
93786 appears in 7 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Automated Ambulatory Blood Pressure Monitoring (0025) | covered if criteria are met | Mar 12, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 92920-93799) | Jul 23, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Automated Ambulatory Blood Pressure Monitoring For The Diagnosis Of Hypertension In Patients With Elevated Office Blood Pressure | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Ambulatory Blood Pressure Monitoring (ABPM) Commercial Products | listed, no stance | Dec 1, 2016 | payer document |
| Blue Cross Blue Shield of Massachusetts | Automated Ambulatory Blood Pressure Monitoring (206) | listed, no stance | payer document | |
| Blue Shield of California | Automated Ambulatory Blood Pressure Monitoring for Diagnosis of Hypertension in Patients with Elevated Office Blood Pressure (1.01.02) | listed, no stance | payer document | |
| UnitedHealthcare | Preventive Care Services (MP.016.59) measurements outside of the | Measurement | listed, no stance | Jul 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.