Payer policies › CPT 2722227222 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 27222 Payer coverage policies that name 27222 27222 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 26990-27299) Jun 19, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 26990-27299) 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: $789.93 (chp_plus, non-facility), effective Jul 1, 2026 FL: $712.03 (physician, non-facility), effective Jan 1, 2026 IL: $678.90 (practitioner), effective Apr 1, 2024 IN: $754.23 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $610.58 (default, Exempt Physician), effective Aug 1, 2024 KY: $517.20 (physician, facility), effective Jan 1, 2026 LA: $794.55 (professional), effective Jul 1, 2025 MA: $741.20 (physician_surgery), effective May 1, 2024 MS: $756.30 (comprehensive), effective Jul 1, 2026 ND: $77.99 (physician, facility), effective Aug 1, 2026 NE: $592.80 (physician, non-facility), effective Jul 1, 2026 NY: $473.10 (physician_surgery, facility), effective Jul 1, 2026 OH: $564.60 (physician), effective Jan 1, 2024 OK: $800.75 (physician, non-facility), effective Jul 1, 2026 TX: $799.51 (physician, Physician, facility), effective Mar 1, 2026 VA: $793.11 (medical), effective Jul 1, 2026 VT: $191.53 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $538.71 (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.