60605 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 60605

1 of 1 payer prior-auth lists that name 60605 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name 60605

60605 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaGrid Monitoring and Intraoperative Electroencephalography (0289)listed, no stanceApr 17, 2026payer document

Medicaid fee-for-service

  • AZ: $1638.05 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $897.91 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1166.63 (physician, non-facility), effective Jan 1, 2026
  • IL: $1160.11 (practitioner), effective Apr 1, 2024
  • IN: $1199.40 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $843.84 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $875.02 (physician, facility), effective Jan 1, 2026
  • LA: $1387.22 (professional), effective Feb 1, 2013
  • MA: $1164.17 (physician_surgery), effective May 1, 2024
  • MS: $1263.12 (comprehensive), effective Jul 1, 2026
  • ND: $1508.73 (physician), effective Aug 1, 2026
  • NE: $431.14 (physician, non-facility), effective Jul 1, 2026
  • NY: $847.25 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1014.50 (physician), effective Jan 1, 2024
  • OK: $1329.56 (physician, non-facility), effective Jul 1, 2026
  • TX: $190.13 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $1299.48 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $850.20 (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.