S9001 Home uterine monitor with orHome uterine monitor with or without associated nursing services
Status I: not valid for Medicare (Medicare uses another code).
4 of 4 payer prior-auth lists that name S9001 require prior authorization or set conditions: Humana.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Humana | Humana Healthy Horizons | FL | prior auth required | Jan 1, 2027 | 1102002FL1026 FLHN8CBEN Humana Healthy Horizons in Florida Preauthorization and Notification List | |
| Humana | Humana Healthy Horizons | KY | prior auth required | Jan 1, 2027 | please visit Humana Healthy Horizons in Kentucky Clinical coverage policies. | |
| Humana | Humana Healthy Horizons | SC | prior auth required | Jan 1, 2027 | Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical | |
| Humana | Oak Street Health | All | prior auth required | Oak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management |
S9001 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Home Uterine Activity Monitoring (0127) | not covered | Mar 19, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Home Uterine Activity Monitoring Huam (L.4.01.402) | not covered | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Home Uterine Activity Monitoring (HUAM) | not covered | Jan 8, 2025 | payer document |
| Blue Cross & Blue Shield of Rhode Island | Home Uterine Activity Monitoring (HUAM) sa | not covered | Jan 7, 2026 | payer document |
Prior authorization required or conditional in CO, IL, IN, NE.
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.