Payer policies › CPT 2560025600 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 25600 Payer coverage policies that name 25600 25600 appears in 5 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Bupivacaine Liposome (Exparel) (0941) listed, no stance (range 25500-25652) Jul 30, 2026 payer document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 25000-25999) Jun 19, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 25000-25999) 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: $74.77 (asc), effective Oct 1, 2026 CO: $278.42 (chp_plus, non-facility), effective Jul 1, 2026 FL: $266.01 (physician, facility), effective Jan 1, 2026 IL: $224.22 (practitioner), effective Apr 1, 2024 IN: $261.34 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $300.00 (asc, facility), effective Aug 1, 1982 KY: $132.31 (asc), effective Jan 1, 2026 LA: $276.13 (professional), effective Jul 1, 2025 MA: $92.62 (asc), effective May 1, 2026 MS: $103.14 (comprehensive, facility), effective Oct 1, 2025 ND: $77.99 (physician, facility), effective Aug 1, 2026 NE: $444.06 (physician, facility), effective Jul 1, 2026 NY: $111.87 (nurse_practitioner, facility), effective Jul 1, 2026 OH: $171.56 (physician, facility), effective Jan 1, 2024 OK: $293.05 (physician, facility), effective Jul 1, 2026 TX: $85.32 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $296.30 (medical, facility), effective Jul 1, 2026 VT: $191.53 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $208.49 (physician, facility), effective Jul 1, 2026 WY: $109.09 (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.