29440 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 29440

Payer coverage policies that name 29440

29440 appears in 3 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaOrthopedic Casts, Braces and Splints (0009)covered if criteria are met (range 29000-29584)Jan 20, 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

Medicaid fee-for-service

  • AZ: $13.04 (asc), effective Oct 1, 2026
  • CO: $11.20 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $20.00 (physician, facility), effective Jan 1, 2026
  • IL: $27.49 (practitioner), effective Apr 1, 2024
  • IN: $21.79 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $50.00 (asc, facility), effective Aug 1, 1982
  • KY: $23.26 (asc), effective Jan 1, 2026
  • LA: $37.62 (professional), effective Feb 1, 2013
  • MA: $18.71 (asc), effective May 1, 2026
  • MS: $18.38 (comprehensive, facility), effective Oct 1, 2025
  • ND: $23.01 (physician, facility), effective Aug 1, 2026
  • NE: $15.23 (physician, facility), effective Jul 1, 2026
  • NY: $16.65 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $14.19 (physician, facility), effective Jan 1, 2024
  • OK: $23.20 (physician, facility), effective Jul 1, 2026
  • TX: $17.17 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $22.28 (medical, facility), effective Jul 1, 2026
  • VT: $126.18 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $15.10 (physician, facility), effective Jul 1, 2026
  • WY: $71.86 (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.