27269 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 27269

Payer coverage policies that name 27269

27269 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: $3566.04 (asc), effective Oct 1, 2026
  • CO: $986.74 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $872.05 (physician, non-facility), effective Jan 1, 2026
  • IL: $859.64 (practitioner), effective Apr 1, 2024
  • IN: $948.05 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $437.31 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $936.68 (physician, facility), effective Jan 1, 2026
  • LA: $1004.51 (professional), effective Jul 1, 2025
  • MA: $924.30 (physician_surgery), effective May 1, 2024
  • MS: $931.57 (comprehensive), effective Jul 1, 2026
  • ND: $2694.38 (physician, facility), effective Aug 1, 2026
  • NE: $281.12 (physician, non-facility), effective Jul 1, 2026
  • NY: $582.26 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $772.18 (physician), effective Jan 1, 2024
  • OK: $985.04 (physician, non-facility), effective Jul 1, 2026
  • TX: $155.47 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026
  • VA: $971.35 (medical), effective Jul 1, 2026
  • VT: $5634.17 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $655.86 (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.