36568 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 36568

Payer coverage policies that name 36568

36568 appears in 9 coverage policies from Aetna, BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
AetnaAnesthetic and Antiemetic Infusion Pumps (0607)listed, no stance (range 33016-37799)Sep 9, 2026payer document
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 33010-37799)Jul 30, 2026payer document
AetnaCardiovascular Ultrafiltration (0741)listed, no stance (range 33010-37790)Oct 30, 2025payer document
AetnaIntestinal Transplantation (0605)listed, no stance (range 36555-36597)Sep 3, 2026payer document
AetnaNegative Pressure Wound Therapy (0334)listed, no stance (range 33016-37799)Jun 8, 2026payer document
AetnaNitric Oxide, Inhalational (INO) (0518)not covered (range 33016-37790)Jul 2, 2026payer document
AetnaNutritional Support (0061)listed, no stance (range 36555-36571)Jan 15, 2026payer document
AetnaStereolithographic Models and Implants (0613)listed, no stance (range 33010-37790)Sep 3, 2026payer document
BlueCross BlueShield of South CarolinaTotal Parenteral Nutrition and Enteral Nutrition in the Home (CAM 10201)listed, no stance (range 36555-36571)Jun 1, 2026payer document

Medicaid fee-for-service

  • AZ: $518.28 (asc), effective Oct 1, 2026
  • CO: $73.66 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $65.20 (physician, non-facility), effective Jan 1, 2026
  • IL: $63.39 (practitioner), effective Apr 1, 2024
  • IN: $70.98 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $3087.50 (asc, facility), effective Jan 1, 2004
  • KY: $634.49 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $270.80 (asc), effective May 1, 2026
  • MS: $505.92 (comprehensive, facility), effective Oct 1, 2025
  • ND: $374.03 (physician, facility), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $85.85 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $69.74 (physician, facility), effective Jan 1, 2024
  • OK: $578.86 (asc), effective Jan 1, 2026
  • TX: $446.27 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $72.63 (medical, facility), effective Jul 1, 2026
  • VT: $1222.27 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $696.15 (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.