29520 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 29520

Payer coverage policies that name 29520

29520 appears in 4 coverage policies from Aetna, Anthem.

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
AnthemStrapping (CG-MED-54)not coveredNov 6, 2025payer document

Medicaid fee-for-service

  • AZ: $17.53 (outpatient_hospital, RF133), effective Oct 1, 2024
  • CO: $28.48 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $12.64 (physician, facility), effective Jan 1, 2026
  • IL: $17.56 (practitioner), effective Apr 1, 2024
  • IN: $14.54 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $31.81 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $35.58 (professional), effective Feb 1, 2013
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $101.04 (comprehensive), effective Jul 1, 2026
  • ND: $38.68 (physician), effective Aug 1, 2026
  • NE: $28.18 (physician, facility), effective Jul 1, 2026
  • OH: $17.79 (physician, facility), effective Dec 31, 2013
  • OK: $14.08 (physician, facility), effective Jul 1, 2026
  • TX: $14.20 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2026
  • VA: $13.31 (medical, facility), effective Jul 1, 2026
  • VT: $103.31 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $8.98 (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.