Payer policies › CPT 2942529425 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 29425 Payer coverage policies that name 29425 29425 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Ankle Orthoses, Ankle-Foot Orthoses (AFOs), and Knee-Ankle-Foot Orthoses (KAFOs) (0565) covered if criteria are met (range 29405-29425) Aug 26, 2026 payer 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: $28.47 (asc), effective Oct 1, 2026 CO: $60.75 (chp_plus, non-facility), effective Jul 1, 2026 FL: $39.74 (physician, facility), effective Jan 1, 2026 IL: $75.30 (podiatrist), effective Apr 1, 2024 IN: $42.34 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $200.00 (asc, facility), effective Aug 1, 1982 KY: $50.79 (asc), effective Jan 1, 2026 LA: $68.49 (professional), effective Feb 1, 2013 MA: $38.65 (asc), effective May 1, 2026 MS: $37.26 (comprehensive, facility), effective Oct 1, 2025 ND: $50.24 (physician, facility), effective Aug 1, 2026 NE: $56.45 (physician, facility), effective Jul 1, 2026 NY: $34.69 (physician_surgery, facility), effective Jul 1, 2026 OH: $45.18 (physician, facility), effective Jan 1, 2016 OK: $45.01 (physician, facility), effective Jul 1, 2026 TX: $35.99 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $44.27 (medical, facility), effective Jul 1, 2026 VT: $217.17 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $30.58 (physician, facility), effective Jul 1, 2026 WY: $123.69 (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.