36620 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 36620

Payer coverage policies that name 36620

36620 appears in 6 coverage policies from Aetna.

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
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
AetnaStereolithographic Models and Implants (0613)listed, no stance (range 33010-37790)Sep 3, 2026payer document

Medicaid fee-for-service

  • AZ: $44.28 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $34.90 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $31.69 (physician, non-facility), effective Jan 1, 2026
  • IL: $37.40 (practitioner), effective Jul 1, 2026
  • IN: $33.88 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $225.00 (asc, facility), effective Aug 1, 1982
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $42.27 (professional), effective Feb 1, 2013
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $35.38 (comprehensive), effective Jul 1, 2026
  • ND: $43.93 (physician), effective Aug 1, 2026
  • NE: $97.81 (physician, non-facility), effective Jul 1, 2026
  • NY: $24.96 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $44.64 (physician), effective Jan 1, 2024
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $30.00 (certified_registered_nurse_anesthetist_crna_anesthesiologist, Certified Registered Nurse Anesthetist (Crna) / Anesthesiologist Assistant (Aa), facility), effective Sep 1, 2026
  • VA: $35.30 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $23.70 (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.