HCPCS Level II › C codes C9166 Injection, secukinumabInjection, secukinumab, intravenous, 1 mg
Medicare coverage: Special coverage instructions apply Status: terminated 20240630 Payer policies and prior authorization for C9166 13 of 14 payer prior-auth lists that name C9166 require prior authorization or set conditions: UnitedHealthcare Community Plan.
Payer Plan State Prior auth Conditions Since Source UnitedHealthcare Community Plan AHCCCS Complete Care (ACC) AZ prior auth required Oct 1, 2026 Prior authorization requirements for AHCCCS Complete Care (ACC) Medicaid effective October 1, 2026 UnitedHealthcare Community Plan AHCCCS Complete Care (ACC) AZ prior auth required Oct 1, 2026 Prior authorization requirements for AHCCCS Complete Care (ACC) Medicaid effective October 1, 2026 UnitedHealthcare Community Plan ALTCS Developmentally Disabled AZ prior auth required Oct 1, 2026 Prior authorization requirements for Arizona Developmental Disabilities Effective October 1, 2026 UnitedHealthcare Community Plan ALTCS Developmentally Disabled AZ prior auth required Oct 1, 2026 Prior authorization requirements for Arizona Developmental Disabilities Effective October 1, 2026 UnitedHealthcare Community Plan ALTCS Long Term Care AZ prior auth required Oct 1, 2026 Prior authorization requirements for Arizona Long Term Care Effective October 1, 2026 UnitedHealthcare Community Plan ALTCS Long Term Care AZ prior auth required Oct 1, 2026 Prior authorization requirements for Arizona Long Term Care Effective October 1, 2026 UnitedHealthcare Community Plan Michigan Medicaid, Healthy Michigan Plan, CSHCS MI prior auth required Oct 1, 2026 Prior authorization requirements for UnitedHealthcare Community Plan of Michigan, Healthy Michigan Plan and Children’s Special Health Care Services Effective October 1, 2026 UnitedHealthcare Community Plan Minnesota Metro Medicaid MN prior auth required Oct 1, 2024 Prior authorization requirements for Minnesota Medicaid Effective October 1, 2024 UnitedHealthcare Community Plan Minnesota Metro Medicaid MN prior auth required Oct 1, 2024 Prior authorization requirements for Minnesota Medicaid Effective October 1, 2024 UnitedHealthcare Community Plan TennCare TN prior auth required Oct 1, 2026 Prior authorization requirements for UnitedHealthcare Community Plan of Tennessee Effective October 1, 2026 UnitedHealthcare Community Plan UnitedHealthcare Community Plan of Florida FL prior auth required Oct 1, 2026 Prior authorization requirements for UnitedHeathcare Community Plan of Florida Effective October 1, 2026 UnitedHealthcare Community Plan UnitedHealthcare Community Plan of Florida FL prior auth required Oct 1, 2026 Prior authorization requirements for UnitedHeathcare Community Plan of Florida Effective October 1, 2026 UnitedHealthcare Community Plan UnitedHealthcare Community Plan of New York NY prior auth required Oct 1, 2026 Prior authorization requirements for UnitedHealthcare Community Plan of New York Effective October 1, 2026
Payer coverage policies that name C9166 C9166 appears in 2 coverage policies from Aetna, Wellmark Blue Cross Blue Shield.
Payer Policy Role in policy Reviewed Document Aetna Injectable Medications (0020) listed, no stance (range C8957-C9235) Mar 5, 2026 payer document Wellmark Blue Cross Blue Shield Cosentyx (secukinumab) (05.02.06) listed, no stance Jun 1, 2026 payer document
Recent prior-auth changes Jan 1, 2026: PA removed, Molina Healthcare of Michigan Apr 1, 2025: PA removed, Molina Complete Care (Virginia) Jan 1, 2025: PA removed, Molina Healthcare of Mississippi Nov 1, 2024: PA removed, UnitedHealthcare Community Plan Oct 1, 2024: PA removed, Molina Healthcare of Illinois Sep 19, 2024: PA removed, Blue Cross and Blue Shield of New Mexico Jul 1, 2024: PA added, Molina Complete Care (Virginia) Jul 1, 2024: PA added, Molina Healthcare of Illinois Jul 1, 2024: PA removed, Blue Shield of California Promise Health Plan Jul 1, 2024: PA added, Molina Healthcare of Michigan 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.