Payer policies › CPT 2321023210 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 23210 Payer coverage policies that name 23210 23210 appears in 6 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Continuous Passive Motion (CPM) Machines (0010) listed, no stance (range 23000-23921) Mar 5, 2026 payer document Aetna Infusion Pumps (0161) listed, no stance (range 23000-23921) Mar 31, 2026 payer document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 23000-23929) Jun 19, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 23000-23929) Jul 23, 2026 payer document Aetna Remote Ischemic Conditioning (0814) listed, no stance (range 20000-29999) Nov 20, 2025 payer document Aetna Skin and Soft Tissue Substitutes (0244) not covered (range 20100-29999) Jul 29, 2026 payer document
Medicaid fee-for-service AZ: $3026.13 (asc), effective Oct 1, 2026 CO: $1401.40 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1198.74 (physician, non-facility), effective Jan 1, 2026 IL: $1223.83 (practitioner), effective Apr 1, 2024 IN: $1346.52 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $361.85 (default, Exempt Physician), effective Aug 1, 2024 KY: $610.15 (physician, facility), effective Jan 1, 2026 LA: $1429.57 (professional), effective Jul 1, 2025 MA: $1312.19 (physician_surgery), effective May 1, 2024 MS: $1321.88 (comprehensive), effective Jul 1, 2026 ND: $2126.56 (physician, facility), effective Aug 1, 2026 NE: $1422.72 (physician, non-facility), effective Jul 1, 2026 NY: $438.64 (physician_surgery, facility), effective Jul 1, 2026 OH: $904.09 (physician), effective Jan 1, 2024 OK: $1397.09 (physician, non-facility), effective Jul 1, 2026 TX: $210.35 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $1376.74 (medical), effective Jul 1, 2026 VT: $5634.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $928.17 (physician, facility), effective Jul 1, 2026 WY: $3208.96 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.