Payer policies › CPT 2753527535 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 27535 Payer coverage policies that name 27535 27535 appears in 5 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) not covered (range 27301-27599) Jun 19, 2026 payer document Aetna Negative Pressure Wound Therapy (0334) listed, no stance (range 27500-27540) Jun 8, 2026 payer document Aetna Nerve Blocks (0863) listed, no stance (range 27301-27599) 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: $3772.77 (asc), effective Oct 1, 2026 CO: $715.59 (chp_plus, non-facility), effective Jul 1, 2026 FL: $634.10 (physician, non-facility), effective Jan 1, 2026 IL: $839.35 (practitioner), effective Jul 1, 2026 IN: $686.49 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $300.00 (asc, facility), effective Jan 1, 1993 KY: $663.23 (physician, facility), effective Jan 1, 2026 LA: $145.40 (professional), effective Jul 1, 2025 MA: $670.71 (physician_surgery), effective May 1, 2024 MS: $676.09 (comprehensive), effective Jul 1, 2026 ND: $2911.80 (physician, facility), effective Aug 1, 2026 NE: $941.06 (physician, non-facility), effective Jul 1, 2026 NY: $447.87 (physician_surgery, facility), effective Jul 1, 2026 OH: $670.79 (physician), effective Jan 1, 2024 OK: $715.46 (physician, non-facility), effective Jul 1, 2026 TX: $107.18 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $706.31 (medical), effective Jul 1, 2026 VT: $5634.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $477.94 (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.