B9006 Parenteral infus pump statioParenteral nutrition infusion pump, stationary
5 of 5 payer prior-auth lists that name B9006 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Blue Shield of California, Humana, UnitedHealthcare Community Plan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Shield of California | Blue Shield commercial | CA | prior auth required | Sep 1, 2026 | Prior Authorization List for Blue Shield | |
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jan 1, 2026 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
| Humana | Humana Healthy Horizons | KY | prior auth required | Jan 1, 2027 | please visit Humana Healthy Horizons in Kentucky Clinical coverage policies. | |
| Humana | Humana Healthy Horizons | VA | prior auth required | Jan 1, 2027 | Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL) | |
| UnitedHealthcare Community Plan | Virginia Cardinal Care LTSS | VA | prior auth required | Oct 1, 2026 | Prior authorization requirements for Virginia Cardinal Care LTSS Effective October 1, 2026 |
B9006 appears in 9 coverage policies from Aetna, Anthem, Blue Cross Blue Shield of Massachusetts, Centene, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Growth Hormone (GH) and Growth Hormone Antagonists (0170) | listed, no stance (range B9004-B9006) | Jun 26, 2026 | payer document |
| Aetna | Intestinal Transplantation (0605) | listed, no stance | Sep 3, 2026 | payer document |
| Aetna | Nutritional Support (0061) Enteral lactoferrin supplementation | covered if criteria are met (range B4102-B9999) | Jan 15, 2026 | payer document |
| Aetna | Pediatric Intensive Feeding Programs (0809) | listed, no stance (range B9000-B9999) | Dec 11, 2025 | payer document |
| Anthem | Home Parenteral Nutrition (CG-MED-89) | covered if criteria are met | May 14, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | TPN (296) | listed, no stance | payer document | |
| Centene | Total Parenteral Nutrition and Intradialytic Parenteral Nutrition Reference Number: CP.MP.163 (CP.MP.163) | covered if criteria are met | Jan 1, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Nutritional Support (MED201.011) HCPCS Codes B4034, B4035, B4036, B4081, B4082, B4083, B4087, B4088, B4102, | listed, no stance | Jan 1, 2026 | payer document |
| UnitedHealthcare | Enteral Nutrition (Oral and Tube Feeding) (for North Carolina Only) (CSNC.MP.104.06) | listed, no stance | Sep 1, 2026 | payer document |
Prior authorization required or conditional in CO, KY, LA, MA, MD, MS, ND, NE, NY, OH, VA, WV, WY.
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.