S2404 Fetal surg myelomeningoRepair, myelomeningocele in the fetus, procedure performed in utero
Status I: not valid for Medicare (Medicare uses another code).
1 of 1 payer prior-auth lists that name S2404 require prior authorization or set conditions: Rocky Mountain Health Plans.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Rocky Mountain Health Plans | Rocky Mountain Health Plans CHP+ | CO | prior auth required | Oct 1, 2026 | Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026 |
S2404 appears in 5 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Fetal Surgery In Utero (0449) | covered if criteria are met | Jul 22, 2026 | payer document |
| Anthem | Fetal Surgery for Prenatally Diagnosed Malformations (CG-SURG-121) | covered if criteria are met | Feb 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Fetal Surgery For Prenatally Diagnosed Malformations (L.4.01.401) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Fetal Surgery for Prenatally Diagnosed Malformations | covered if criteria are met | Jun 17, 2026 | payer document |
| Centene | Fetal Surgery in Utero for Prenatally Diagnosed Malformations (CP.MP.129) | covered if criteria are met | May 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.