Payer policies › CPT 2958429584 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 29584 Payer coverage policies that name 29584 29584 appears in 4 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Lymphedema (0069) listed, no stance Feb 25, 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: $34.71 (asc), effective Oct 1, 2026 CO: $65.91 (chp_plus, non-facility), effective Jul 1, 2026 FL: $10.80 (physician, facility), effective Jan 1, 2026 IL: $10.43 (practitioner), effective Apr 1, 2024 IN: $12.55 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $27.10 (asc, facility), effective Jan 1, 2012 KY: $61.93 (asc), effective Jan 1, 2026 LA: $61.03 (professional), effective Jul 1, 2025 MA: $57.44 (asc), effective May 1, 2026 MS: $51.24 (comprehensive, facility), effective Oct 1, 2025 ND: $61.25 (physician, facility), effective Aug 1, 2026 NE: $74.10 (physician, non-facility), effective Jul 1, 2026 NY: $26.97 (physician_surgery, facility), effective Jul 1, 2026 OH: $11.15 (physician, facility), effective Jan 1, 2024 OK: $12.27 (physician, facility), effective Jul 1, 2026 TX: $58.14 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023 VA: $11.57 (medical, facility), effective Jul 1, 2026 VT: $126.18 (outpatient_hospital_opps), effective Feb 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.