S9056 Coma stimulation per diem

Coma stimulation per diem

Medicare pricing for S9056

Physician Fee Schedule (CY 2026, RVU26D)

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

Payer policies and prior authorization for S9056

1 of 1 payer prior-auth lists that name S9056 require prior authorization or set conditions: Rocky Mountain Health Plans.

PayerPlanStatePrior authConditionsSinceSource
Rocky Mountain Health PlansRocky Mountain Health Plans CHP+COprior auth requiredOct 1, 2026Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026

Payer coverage policies that name S9056

S9056 appears in 14 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaCognitive Rehabilitation (0214)not coveredApr 21, 2026payer document
AnthemSensory Stimulation for Brain-Injured Individuals in Coma or Vegetative State (MED.00011)unproven / investigationalFeb 19, 2026payer document
Blue Cross & Blue Shield of MississippiSensory Stimulation For Coma Patients (L.2.01.421)unproven / investigationalpayer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (2026T0144II)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (CS020.T)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Idaho Only) (CS020ID.D)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Kentucky Only) (CS020KY.09)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Nebraska Only) (CS020NE.T)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for New Jersey Only) (CS020NJ.P)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for New Mexico Only) (CS020NM.D)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for North Carolina Only) (CSNCT0144.04)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Ohio Only) (CS020OH.D)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Pennsylvania Only) (CS020PA.T)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCognitive Rehabilitation and Coma Stimulation (for Tennessee Only) (CS020TN.U)listed, no stanceAug 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • ND: $0.00 (physician), effective Aug 1, 2026

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.