27692 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 27692

3 of 3 payer prior-auth lists that name 27692 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Blue Cross and Blue Shield of Illinois.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross Blue Shield of Arizona (AZ Blue)Federal Employee Program (FEP)AZprior auth under conditionsFEP Blue Focus onlySep 1, 2026Federal Employee Program (FEP) Prior Authorization Requirements Code List (Updated 09/01/2026)
Blue Cross and Blue Shield of IllinoisBlue Cross Community Health Plans (BCCHP), Illinois MedicaidILprior auth requiredOct 1, 2026Illinois Medicaid Prior Authorization Code List, Effective 10/1/2026
Blue Cross and Blue Shield of IllinoisBlue Cross Community MMAI (Medicare-Medicaid Alignment Initiative)ILprior auth requiredJan 1, 2025Procedure Code List, Effective 1/1/2025

Payer coverage policies that name 27692

27692 appears in 6 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 27600-27899)Jul 30, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)not covered (range 27600-27899)Jun 19, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 27600-27899)Jul 23, 2026payer document
AetnaNeuroControl Freehand System (0378)listed, no stance (range 27690-27692)May 26, 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
AetnaSkin and Soft Tissue Substitutes (0244)not covered (range 27650-27692)Jul 29, 2026payer document

Recent prior-auth changes

  • Jul 1, 2026: conditions changed, Blue Cross and Blue Shield of Illinois

Medicaid fee-for-service

  • AZ: $3314.87 (outpatient_hospital), effective Oct 1, 2013
  • CO: $78.56 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $70.54 (physician, non-facility), effective Jan 1, 2026
  • IL: $149.80 (podiatrist), effective Apr 1, 2024
  • IN: $77.87 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $425.00 (asc, facility), effective Aug 1, 1982
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $217.00 (asc), effective Jul 1, 2012
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $75.69 (comprehensive), effective Jul 1, 2026
  • ND: $92.75 (physician), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $55.22 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $97.27 (physician), effective Jan 1, 2010
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $12.08 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026
  • VA: $77.55 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $51.60 (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.