60270 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 60270

1 of 1 payer prior-auth lists that name 60270 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 60270

60270 appears in 2 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 60210-60281)Jun 19, 2026payer document
AetnaVocal Cord Paralysis / Insufficiency Treatments (0253)listed, no stance (range 60210-60271)Apr 15, 2026payer document

Recent prior-auth changes

  • Aug 9, 2024: PA removed, humana:pa:commercial

Medicaid fee-for-service

  • AZ: $1392.59 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1077.22 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $955.70 (physician, non-facility), effective Jan 1, 2026
  • IL: $951.66 (practitioner), effective Apr 1, 2024
  • IN: $1031.72 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $824.59 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $918.83 (physician, facility), effective Jan 1, 2026
  • LA: $1110.52 (professional), effective Jul 1, 2025
  • MA: $1005.97 (physician_surgery), effective May 1, 2024
  • MS: $1029.30 (comprehensive), effective Jul 1, 2026
  • ND: $1276.67 (physician), effective Aug 1, 2026
  • NE: $2045.16 (physician, non-facility), effective Jul 1, 2026
  • NY: $645.23 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $908.34 (physician), effective Jan 1, 2024
  • OK: $1086.12 (physician, non-facility), effective Jul 1, 2026
  • TX: $168.89 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $1064.53 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $712.42 (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.