27369 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 27369

Payer coverage policies that name 27369

27369 appears in 6 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBone and Tendon Graft Substitutes and Adjuncts (0411)listed, no stance (range 27301-27499)Aug 18, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)not covered (range 27301-27599)Jun 19, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 27301-27599)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
AetnaViscosupplementation (0179)not coveredSep 2, 2026payer document

Medicaid fee-for-service

  • AZ: $134.24 (outpatient_hospital, RF133), effective Oct 1, 2025
  • CO: $67.03 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $27.58 (physician, facility), effective Jan 1, 2026
  • IL: $27.40 (practitioner), effective Apr 1, 2024
  • IN: $30.87 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $80.03 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $139.70 (professional), effective Jul 1, 2025
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $143.90 (comprehensive), effective Jul 1, 2026
  • ND: $202.39 (physician), effective Aug 1, 2026
  • NE: $130.41 (physician, non-facility), effective Jul 1, 2026
  • NY: $22.43 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $33.00 (physician, facility), effective Jan 1, 2024
  • OK: $30.71 (physician, facility), effective Jul 1, 2026
  • TX: $126.65 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, non-facility), effective Mar 1, 2026
  • VA: $29.51 (medical, facility), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $19.87 (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.