93971 CPT® code: payer coverage and prior authorization2 of 9 payer prior-auth lists that name 93971 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 |
93971 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Cardiovascular Disease Risk Tests (0381) | not covered | Aug 25, 2026 | payer document |
| Aetna | Varicose Veins (0050) | listed, no stance | Aug 3, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Foot Care Services (L.9.01.401) | covered if criteria are met (range 93922-93971) | payer document | |
| Blue Cross & Blue Shield of Mississippi | Treatment Of Varicose Veinsvenous Insufficiency (A.7.01.124) | covered if criteria are met | payer document | |
| Regence | Varicose Vein Treatment (Surgery 104) Notes | listed, no stance | May 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.