Payer policies › CPT 2592425924 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 25924 Payer coverage policies that name 25924 25924 appears in 6 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Complex Regional Pain Syndrome (CRPS): Treatments (0447) not covered (range 25920-25924) Jul 16, 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 Aetna Upper Limb Prostheses (0399) listed, no stance (range 25900-25931) Jul 16, 2026 payer document
Medicaid fee-for-service AZ: $1062.88 (asc), effective Oct 1, 2026 CO: $299.30 (chp_plus, non-facility), effective Jul 1, 2026 FL: $530.19 (physician, non-facility), effective Jan 1, 2026 IL: $490.84 (practitioner), effective Apr 1, 2024 IN: $549.90 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $425.12 (default, Exempt Physician), effective Aug 1, 2024 KY: $461.74 (physician, facility), effective Jan 1, 2026 LA: $575.76 (professional), effective Jul 1, 2025 MA: $545.78 (physician_surgery), effective May 1, 2024 MS: $557.44 (comprehensive), effective Jul 1, 2026 ND: $946.52 (physician, facility), effective Aug 1, 2026 NE: $622.44 (physician, non-facility), effective Jul 1, 2026 NY: $321.63 (physician_surgery, facility), effective Jul 1, 2026 OH: $460.77 (physician), effective Jan 1, 2024 OK: $592.10 (physician, non-facility), effective Jul 1, 2026 TX: $90.07 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $590.57 (medical), effective Jul 1, 2026 VT: $2540.58 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $406.09 (physician, facility), effective Jul 1, 2026 WY: $1447.00 (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.