C1827 Gen, neuro, imp led, ex cntrGenerator, neurostimulator (implantable), non-rechargeable, with implantable stimulation lead and external paired stimulation controller
6 of 6 payer prior-auth lists that name C1827 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), HealthSpring, Humana.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona (AZ Blue) | AZ Blue-administered Medicare Advantage (M2K) | AZ | prior auth required | Sep 1, 2026 | AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Effective 09/01/2026) | |
| Blue Cross Blue Shield of Arizona (AZ Blue) | Standard PA code list (most commercial plans) | AZ | prior auth required | Sep 1, 2026 | AZ Blue Standard Prior Authorization Requirements Code List (09/01/2026) | |
| Blue Cross Blue Shield of Arizona (AZ Blue) | State of Arizona employee group (SYD, S3Z) | AZ | prior auth required | Sep 1, 2026 | State of Arizona Group Prior Authorization Requirements Code List (09/01/2026) | |
| HealthSpring | Medicare Advantage | All | prior auth required | Jan 1, 2025 | 2026 Q4 Prior Authorization List | |
| Humana | Humana Healthy Horizons | VA | prior auth required | Jan 1, 2027 | Humana Healthy Horizons in Virginia Prior Authorization and Notification List (PAL) | |
| Humana | Humana Puerto Rico MA and Dual Medicare-Medicaid | PR | prior auth required | Nov 3, 2025 | Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification |
C1827 appears in 8 coverage policies from Aetna, Anthem, Centene, Premera Blue Cross, Regence, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Acute Ischemic Stroke Treatments (0789) Cerebrolysin, Transdermal glyceryl trinitrate, Statins (e.g. simvastatin) | not covered | Nov 19, 2025 | payer document |
| Aetna | Vagus Nerve Stimulation (0191) | not covered | Mar 31, 2026 | payer document |
| Anthem | Vagus Nerve Stimulation (CG-SURG-120) | not covered | Feb 19, 2026 | payer document |
| Centene | Vagus Nerve Stimulation (CP.MP.12) | covered if criteria are met | Jul 1, 2026 | payer document |
| Premera Blue Cross | Spinal Cord and Dorsal Root Ganglion Stimulation (7.01.546) | listed, no stance | Jul 1, 2026 | payer document |
| Premera Blue Cross | Vagus Nerve Stimulation (7.01.593) | listed, no stance | Mar 23, 2026 | payer document |
| Regence | Vagus Nerve Stimulation (Surgery 74) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Neurologic Services and Procedures (MMP061.12) Vagus Nerve Stimulation for Strokes | listed, no stance | Sep 1, 2026 | payer document |
Prior authorization required or conditional in IN.
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.