A9270 Non-covered item or serviceNon-covered item or service
Status N: non-covered service.
2 of 5 payer prior-auth lists that name A9270 require prior authorization or set conditions: Blue Cross and Blue Shield of Illinois, UnitedHealthcare Community Plan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Illinois | Blue Cross Community MMAI (Medicare-Medicaid Alignment Initiative) | IL | prior auth required | eviCore-managed | Jan 1, 2019 | Procedure Code List, Effective 1/1/2025 |
| UnitedHealthcare Community Plan | Ohio Medicaid | OH | prior auth required | Nov 1, 2025 | Prior authorization requirements for Ohio Medicaid Effective November 1, 2025 General Information This list contains prior authorization requirements for participating UnitedHealthcare Community Plan |
A9270 appears in 3 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Urological Supplies (0533) | not covered | Jul 30, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Payment Policy | Cooling Devices Used in the Home and Outpatient Setting | not covered | Nov 3, 2025 | payer document |
| Premera Blue Cross | Non-covered Services and Procedures Page | 12 of 30 | ∞ | listed, no stance | Jun 1, 2026 | payer document |
Prior authorization required or conditional in IN, MD, OH.
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.