C8008 Rv/rpl hpgls ns inc cnt pgRevision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator
5 of 5 payer prior-auth lists that name C8008 require prior authorization or set conditions: Aetna, Blue Cross Blue Shield of Arizona (AZ Blue).
| 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) | |
| Aetna | Commercial | All | prior auth required | Jul 1, 2026 | Participating provider precertification list for Aetna® | |
| Aetna | Medicare Advantage | All | prior auth required | Jul 1, 2026 | Participating provider precertification list for Aetna® |
C8008 appears in 6 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island, Blue Shield of California, Capital Blue Cross, Premera Blue Cross, Regence.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Obstructive Sleep Apnea in Adults (0004) | covered if criteria are met | Oct 6, 2026 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome sa | covered if criteria are met | Apr 1, 2026 | payer document |
| Blue Shield of California | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome (7.01.101) | listed, no stance | payer document | |
| Capital Blue Cross | Surgical Treatment of Sleep Apnea and Snoring (MP 1.128) Procedure codes | covered if criteria are met | Apr 1, 2026 | payer document |
| Premera Blue Cross | Surgical Treatment of Snoring and Obstructive Sleep Apnea Syndrome (7.01.554) | listed, no stance | Jul 27, 2026 | payer document |
| Regence | Hypoglossal Nerve Stimulation (Surgery 215) | listed, no stance | Mar 1, 2026 | payer document |
Prior authorization required or conditional in IN, VT.
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.