32667 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 32667

14 of 15 payer prior-auth lists that name 32667 require prior authorization or set conditions: Molina Complete Care (Virginia), Molina Healthcare of California, Molina Healthcare of Idaho, Molina Healthcare of Illinois, Molina Healthcare of Iowa, Molina Healthcare of Michigan, Molina Healthcare of Mississippi, Molina Healthcare of Nevada, Molina Healthcare of New Mexico, Molina Healthcare of Ohio, Molina Healthcare of Utah, Passport by Molina Healthcare (Kentucky).

PayerPlanStatePrior authConditionsSinceSource
Molina Complete Care (Virginia)MedicaidVAprior auth requiredApr 1, 2025Virginia Medicaid PA Code Matrix and Virginia code/benefit exceptions, effective Q2 2025
Molina Healthcare of CaliforniaMedicaidCAprior auth requiredApr 1, 2026Medicaid Prior Auth (PA) Code Matrix (California), effective Q2 2026
Molina Healthcare of IdahoMedicaidIDprior auth requiredJan 1, 2025Idaho Medicaid Prior Auth (PA) Code Matrix and Idaho code/benefit exceptions, Q1 2025
Molina Healthcare of IllinoisMedicaidILprior auth requiredApr 1, 2023Molina Healthcare of Illinois Codification Grid Q3 2026
Molina Healthcare of IowaMedicaidIAprior auth requiredJul 1, 2023IA Prior Authorization Matrix, effective Q3 2023
Molina Healthcare of MichiganMedicaidMIprior auth requiredadults via EvolentJul 1, 2026Molina Healthcare of Michigan PA Matrix 2026-Q3
Molina Healthcare of MichiganMedicare AdvantageMIprior auth requiredadults via EvolentJul 1, 2026Molina Healthcare of Michigan PA Matrix 2026-Q3
Molina Healthcare of MississippiMedicaidMSprior auth requiredadults via EvolentJan 1, 2025Mississippi Medicaid Prior Auth (PA) Code Matrix and exceptions, effective Q1 2025
Molina Healthcare of NevadaMedicaidNVprior auth requiredadults via NCHOct 1, 2022Medicaid Prior Auth (PA) Code Matrix, effective Q4 2022
Molina Healthcare of New MexicoMedicaidNMprior auth requiredJul 1, 2026New Mexico Medicaid Prior Auth (PA) Code Matrix, effective July 1, 2026
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
Molina Healthcare of UtahMedicaidUTprior auth requiredJan 1, 2025Utah Medicaid Prior Auth (PA) Code Matrix and Utah code/benefit exceptions, Q1 2025
Passport by Molina Healthcare (Kentucky)MedicaidKYprior auth requiredadults via EvolentJul 1, 2026Kentucky Medicaid Prior Auth (PA) Code Matrix and Kentucky PA Code Exceptions, effective Q3 2026

Payer coverage policies that name 32667

32667 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 32650-32674)Jul 23, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 32666-32667)Jul 23, 2026payer document

Recent prior-auth changes

  • Jan 1, 2026: PA added, Molina Healthcare of Michigan
  • Jul 1, 2024: PA added, Molina Healthcare of Mississippi
  • Jan 1, 2024: PA added, Molina Healthcare of Michigan

Medicaid fee-for-service

  • AZ: $155.16 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $121.92 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $167.73 (pediatric_surgery, pediatric surgeon), effective Jan 1, 2025
  • IN: $113.88 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $66.55 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $128.37 (physician, facility), effective Jan 1, 2026
  • LA: $129.31 (professional), effective Feb 1, 2013
  • MA: $110.88 (physician_surgery), effective May 1, 2024
  • MS: $119.30 (comprehensive), effective Jul 1, 2026
  • ND: $143.06 (physician), effective Aug 1, 2026
  • NE: $296.40 (physician, non-facility), effective Jul 1, 2026
  • NY: $60.75 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $79.60 (physician), effective Jan 1, 2024
  • OK: $125.57 (physician, non-facility), effective Jul 1, 2026
  • TX: $17.52 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Sep 1, 2026
  • VA: $122.69 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $80.45 (physician, facility), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), 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.