Payer policies › CPT 2913029130 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 29130 Payer coverage policies that name 29130 29130 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: $14.30 (outpatient_hospital, RF133), effective Oct 1, 2024 CO: $26.68 (chp_plus, non-facility), effective Jul 1, 2026 FL: $20.00 (physician, facility), effective Jan 1, 2026 IL: $23.00 (practitioner), effective Jul 1, 2026 IN: $22.17 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $25.33 (default, Exempt Physician), effective Aug 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $33.85 (professional), effective Jul 1, 2025 MA: $0.00 (asc), effective May 1, 2026 MS: $21.68 (comprehensive), effective Jul 1, 2026 ND: $49.94 (physician), effective Aug 1, 2026 NE: $27.47 (physician, facility), effective Jul 1, 2026 OH: $23.18 (physician, facility), effective Jan 1, 2016 OK: $22.85 (physician, facility), effective Jul 1, 2026 TX: $22.47 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026 VA: $22.28 (medical, facility), effective Jul 1, 2026 VT: $103.31 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $14.91 (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.