98960 CPT® code: payer coverage and prior authorization98960 appears in 5 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments (0788) | not covered | Nov 19, 2025 | payer document |
| Aetna | Autism Spectrum Disorders (0648) | listed, no stance | Oct 2, 2025 | payer document |
| Aetna | Myalgic Encephalomyelitis - Chronic Fatigue Syndrome (ME/CSF) (0369) | not covered | May 20, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Lactation Consultations | covered if criteria are met | Nov 5, 2025 | payer document |
| UnitedHealthcare | Preventive Care Services (MP.016.59) and Supplies | Procedure Code(s): | Requires one of the diagnosis codes | 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.