Payer policies › CPT 2912529125 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 29125 Payer coverage policies that name 29125 29125 appears in 3 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Orthopedic Casts, Braces and Splints (0009) covered if criteria are met (range 29000-29584) Jan 20, 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: $28.94 (outpatient_hospital, RF133), effective Oct 1, 2025 CO: $37.98 (chp_plus, non-facility), effective Jul 1, 2026 FL: $31.95 (physician, facility), effective Jan 1, 2026 IL: $32.15 (practitioner), effective Jul 1, 2026 IN: $31.29 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $200.00 (asc, facility), effective Aug 1, 1982 KY: $0.00 (asc), effective Jan 1, 2026 LA: $53.04 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 MS: $101.04 (comprehensive), effective Jul 1, 2026 ND: $87.11 (physician), effective Aug 1, 2026 NE: $24.19 (physician, facility), effective Jul 1, 2026 NY: $19.96 (physician_surgery, facility), effective Jul 1, 2026 OH: $31.44 (physician, facility), effective Jan 1, 2016 OK: $35.66 (physician, facility), effective Jul 1, 2026 TX: $31.76 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $35.59 (medical, facility), effective Jul 1, 2026 VT: $103.31 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $24.65 (physician, facility), effective Jul 1, 2026 WY: $58.84 (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.