27218 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 27218

Payer coverage policies that name 27218

27218 appears in 4 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaIntraoperative Neurophysiological Monitoring (0697)not covered (range 26990-27299)Jun 19, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 26990-27299)Jul 23, 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: $1188.62 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $945.90 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $797.15 (physician, non-facility), effective Jan 1, 2026
  • IL: $599.35 (practitioner), effective Jul 1, 2026
  • IN: $898.68 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $794.20 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $999.41 (physician, facility), effective Jan 1, 2026
  • LA: $209.60 (professional), effective Feb 1, 2013
  • MA: $858.32 (physician_surgery), effective May 1, 2024
  • MS: $869.07 (comprehensive), effective Jul 1, 2026
  • ND: $1100.57 (physician), effective Aug 1, 2026
  • NE: $2652.78 (physician, non-facility), effective Jul 1, 2026
  • NY: $660.96 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $944.72 (physician), effective Jan 1, 2000
  • OK: $914.96 (physician, non-facility), effective Jul 1, 2026
  • TX: $927.28 (physician, Physician, facility), effective Mar 1, 2026
  • VA: $885.42 (medical), effective Jul 1, 2026
  • VT: $834.92 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $600.82 (physician, facility), effective Jul 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.