29720 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 29720

Payer coverage policies that name 29720

29720 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
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: $39.30 (asc), effective Oct 1, 2026
  • CO: $11.20 (chp_plus, non-facility), effective Jul 1, 2026
  • IL: $43.23 (practitioner), effective Apr 1, 2024
  • IN: $33.37 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $200.00 (asc, facility), effective Aug 1, 1982
  • KY: $70.12 (asc), effective Jan 1, 2026
  • LA: $68.75 (professional), effective Jul 1, 2025
  • MA: $48.16 (asc), effective May 1, 2026
  • MS: $48.65 (comprehensive, facility), effective Oct 1, 2025
  • ND: $69.36 (physician, facility), effective Aug 1, 2026
  • NE: $12.80 (physician, facility), effective Jul 1, 2026
  • NY: $21.63 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $21.80 (physician, facility), effective Jan 1, 2024
  • OK: $63.97 (asc), effective Jan 1, 2026
  • TX: $46.23 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $33.56 (medical, facility), effective Jul 1, 2026
  • VT: $126.18 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $22.55 (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.