`S2409` Fetal surg noc

Repair, congenital malformation of fetus, procedure performed in utero, not otherwise classified

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medicare pricing for S2409

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S2409

1 of 1 payer prior-auth lists that name S2409 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

Payer coverage policies that name S2409

S2409 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)	unproven / investigational		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

Recent prior-auth changes

Oct 1, 2026: PA removed, Oxford Health Plans

Medicaid fee-for-service

Prior authorization required or conditional in IN.

ND: $0.00 (physician), effective Aug 1, 2026
TX: $0.00 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Jul 1, 2015

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.

S2409 Fetal surg noc