36563 CPT® code: payer coverage and prior authorization36563 appears in 14 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Anesthetic and Antiemetic Infusion Pumps (0607) | listed, no stance (range 33016-37799) | Sep 9, 2026 | payer document |
| Aetna | Bupivacaine Liposome (Exparel) (0941) | listed, no stance (range 33010-37799) | Jul 30, 2026 | payer document |
| Aetna | Cardiovascular Ultrafiltration (0741) | listed, no stance (range 33010-37790) | Oct 30, 2025 | payer document |
| Aetna | Infusion Pumps (0161) | covered if criteria are met | Mar 31, 2026 | payer document |
| Aetna | Intestinal Transplantation (0605) | listed, no stance (range 36555-36597) | Sep 3, 2026 | payer document |
| Aetna | Negative Pressure Wound Therapy (0334) | listed, no stance (range 33016-37799) | Jun 8, 2026 | payer document |
| Aetna | Nitric Oxide, Inhalational (INO) (0518) | not covered (range 33016-37790) | Jul 2, 2026 | payer document |
| Aetna | Nutritional Support (0061) | listed, no stance (range 36555-36571) | Jan 15, 2026 | payer document |
| Aetna | Stereolithographic Models and Implants (0613) | listed, no stance (range 33010-37790) | Sep 3, 2026 | payer document |
| Aetna | Ultrasound Guidance – Selected Indications (0952) | covered if criteria are met | Apr 27, 2026 | payer document |
| Anthem | Implantable Infusion Pumps (CG-SURG-79) | not covered | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Implantable Infusion Pump (L.7.01.430) | covered if criteria are met | payer document | |
| BlueCross BlueShield of South Carolina | Implantable Infusion Pump for Pain and Spasticity (CAM 70141) | listed, no stance | Jan 1, 2026 | payer document |
| BlueCross BlueShield of South Carolina | Total Parenteral Nutrition and Enteral Nutrition in the Home (CAM 10201) | listed, no stance (range 36555-36571) | Jun 1, 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.