20700 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 20700

Payer coverage policies that name 20700

20700 appears in 5 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBone and Tendon Graft Substitutes and Adjuncts (0411)
Calcium sulfate antibiotic beads (e.g., Osteoset Resorbable Mini-Bead)
covered if criteria are metAug 18, 2026payer document
AetnaExtended-Release Buprenorphine Injectables (0910)listed, no stanceDec 30, 2025payer document
AetnaImplantable Hormone Pellets (0345)covered if criteria are metJul 8, 2026payer document
AetnaRemote Ischemic Conditioning (0814)listed, no stance (range 20000-29999)Nov 20, 2025payer document
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 20100-29999)Jul 29, 2026payer document

Medicaid fee-for-service

  • AZ: $85.42 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $66.40 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $65.98 (physician, non-facility), effective Jan 1, 2026
  • IL: $58.82 (practitioner), effective Apr 1, 2024
  • IN: $63.48 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $43.23 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $77.91 (professional), effective Jan 1, 2020
  • MA: $0.00 (asc), effective May 1, 2026
  • ND: $89.74 (physician), effective Aug 1, 2026
  • OH: $68.83 (physician), effective Jan 1, 2020
  • OK: $63.15 (physician, facility), effective Jul 1, 2026
  • TX: $61.72 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2024
  • VA: $61.34 (medical, facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 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.