95147 CPT® code: payer coverage and prior authorization95147 appears in 8 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross NC, BlueCross BlueShield of South Carolina, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Allergy and Hypersensitivity (0038) | covered if criteria are met (range 95115-95170) | Mar 10, 2026 | payer document |
| Aetna | Tezepelumab-ekko (Tezspire) (1003) | listed, no stance (range 95115-95199) | Aug 6, 2026 | payer document |
| Anthem | Allergy Immunotherapy (Subcutaneous) (CG-MED-52) | covered if criteria are met | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Allergy Immunotherapy (L.2.01.414) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Allergy Immunotherapy Injections MEDICAL COVERAGE POLICY | 1 | covered if criteria are met | Mar 5, 2025 | payer document |
| Blue Cross NC | Allergy Immunotherapy (Desensitization) | listed, no stance | Nov 1, 2025 | payer document |
| BlueCross BlueShield of South Carolina | Allergy Immunotherapy (CAM 009) | listed, no stance | Oct 1, 2025 | payer document |
| Centene | Allergy Testing and Therapy (CP.MP.100) | covered if criteria are met | Sep 1, 2023 | 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.