94010 CPT® code: payer coverage and prior authorization94010 appears in 9 coverage policies from Aetna, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | covered if criteria are met | Mar 10, 2026 | payer document |
| Aetna | Benralizumab (Fasenra) (0925) | listed, no stance (range 94010-94799) | Aug 25, 2026 | payer document |
| Aetna | Lysosomal Storage Disorder Treatments (0442) | listed, no stance | Jul 8, 2026 | payer document |
| Aetna | Oxygen (0002) | listed, no stance (range 94010-94777) | Mar 10, 2026 | payer document |
| Aetna | Pulmonary Rehabilitation (0032) | listed, no stance (range 94010-94621) | Mar 5, 2026 | payer document |
| Aetna | Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479) | listed, no stance (range 94010-94621) | Jul 9, 2026 | payer document |
| Aetna | Tofersen (Qalsody) (1031) | listed, no stance | Aug 10, 2026 | payer document |
| Aetna | Total Body Plethysmography (0474) | listed, no stance (range 94010-94070) | Jul 17, 2026 | payer document |
| Centene | Pulmonary Function Testing (CP.MP.242) Codes6-7 | covered if criteria are met | 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.