32601 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 32601

3 of 9 payer prior-auth lists that name 32601 require prior authorization or set conditions: Molina Healthcare of Nevada, Molina Healthcare of Ohio.

PayerPlanStatePrior authConditionsSinceSource
Molina Healthcare of NevadaMedicaidNVprior auth requiredadults via NCHOct 1, 2022Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022
Molina Healthcare of OhioMedicaid and MyCare Ohio (MMP) MedicaidOHprior auth under conditionsno PA under 18Oct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01
Molina Healthcare of OhioExchangeOHprior auth under conditionsno PA under 18Oct 1, 2023Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01

Payer coverage policies that name 32601

32601 appears in 4 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaAnesthetic and Antiemetic Infusion Pumps (0607)listed, no stance (range 32035-32999)Sep 9, 2026payer document
AetnaElectrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications (0676)listed, no stance (range 32601-32674)Oct 7, 2026payer document
AetnaElectromagnetic Navigation-Guided Bronchoscopy (0776)listed, no stance (range 32601-32674)Jun 8, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 32601-32608)Jul 23, 2026payer document

Recent prior-auth changes

  • Oct 1, 2026: PA removed, Oxford Health Plans
  • Jan 1, 2026: PA removed, Molina Healthcare of Michigan
  • Jan 1, 2026: PA removed, Molina Healthcare of Illinois
  • Jul 1, 2024: conditions changed, Molina Healthcare of Illinois
  • Jan 1, 2024: PA added, Molina Healthcare of Michigan

Medicaid fee-for-service

  • AZ: $1984.28 (asc), effective Oct 1, 2026
  • CO: $244.46 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $314.37 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IL: $215.30 (practitioner), effective Apr 1, 2024
  • IN: $227.62 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $203.08 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $2958.68 (asc), effective Jan 1, 2026
  • LA: $252.67 (professional), effective Feb 1, 2013
  • MA: $220.72 (physician_surgery), effective May 1, 2024
  • MS: $241.18 (comprehensive), effective Jul 1, 2026
  • ND: $294.76 (physician), effective Aug 1, 2026
  • NE: $103.57 (physician, non-facility), effective Jul 1, 2026
  • NY: $154.52 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $251.11 (physician), effective Jan 1, 2000
  • OK: $254.19 (physician, non-facility), effective Jul 1, 2026
  • TX: $212.23 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $249.71 (medical), effective Jul 1, 2026
  • VT: $4694.12 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $165.68 (physician, facility), effective Jul 1, 2026
  • WY: $2673.55 (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.