50020 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 50020

1 of 1 payer prior-auth lists that name 50020 require prior authorization or set conditions: Humana.

PayerPlanStatePrior authConditionsSinceSource
HumanaHumana Puerto Rico MA and Dual Medicare-MedicaidPRprior auth requiredNov 3, 2025Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List Puerto Rico Medicare Advantage and Dual Medicare-Medicaid Plan Preauthorization and Notification

Payer coverage policies that name 50020

50020 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stance (range 50010-53899)Jul 30, 2026payer document

Medicaid fee-for-service

  • AZ: $690.65 (asc), effective Oct 1, 2026
  • CO: $448.96 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $712.55 (physician, non-facility), effective Jan 1, 2026
  • IL: $693.41 (practitioner), effective Apr 1, 2024
  • IN: $785.11 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $255.84 (asc, facility), effective Aug 1, 1982
  • KY: $978.05 (asc), effective Jan 1, 2026
  • LA: $832.01 (professional), effective Feb 1, 2013
  • MA: $744.94 (physician_surgery), effective May 1, 2024
  • MS: $775.30 (comprehensive), effective Jul 1, 2026
  • ND: $979.28 (physician), effective Aug 1, 2026
  • NE: $199.73 (physician, non-facility), effective Jul 1, 2026
  • NY: $500.72 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $622.77 (physician), effective Jan 1, 2024
  • OK: $1882.40 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $769.88 (physician, Physician, facility), effective Sep 1, 2026
  • VA: $793.69 (medical), effective Jul 1, 2026
  • VT: $1623.10 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $537.56 (physician, facility), effective Jul 1, 2026
  • WY: $924.45 (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.