32604 CPT® code: payer coverage and prior authorization3 of 9 payer prior-auth lists that name 32604 require prior authorization or set conditions: Molina Healthcare of Nevada, Molina Healthcare of Ohio.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Molina Healthcare of Nevada | Medicaid | NV | prior auth required | adults via NCH | Oct 1, 2022 | Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022 |
| Molina Healthcare of Ohio | Medicaid and MyCare Ohio (MMP) Medicaid | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
| Molina Healthcare of Ohio | Exchange | OH | prior auth under conditions | no PA under 18 | Oct 1, 2023 | Molina Healthcare of Ohio Prior Authorization (PA) Code List, effective 2023-10-01 |
32604 appears in 4 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Anesthetic and Antiemetic Infusion Pumps (0607) | listed, no stance (range 32035-32999) | Sep 9, 2026 | payer document |
| Aetna | Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications (0676) | listed, no stance (range 32601-32674) | Oct 7, 2026 | payer document |
| Aetna | Electromagnetic Navigation-Guided Bronchoscopy (0776) | listed, no stance (range 32601-32674) | Jun 8, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 32601-32608) | Jul 23, 2026 | payer document |
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.