Payer policies › CPT 6158061580 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 61580 Payer coverage policies that name 61580 61580 appears in 5 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Intraoperative Neurophysiological Monitoring (0697) covered if criteria are met (range 61580-61619) Jun 19, 2026 payer document Aetna Intravenous Iron Therapy (0575) listed, no stance (range 61000-64999) Jul 1, 2026 payer document Aetna Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479) listed, no stance (range 61000-64999) Jul 9, 2026 payer document Aetna Safety Items (0623) listed, no stance (range 61304-61619) Sep 23, 2026 payer document Aetna Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703) listed, no stance (range 61000-64999) Nov 24, 2025 payer document
Medicaid fee-for-service AZ: $2542.85 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1996.46 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1725.40 (physician, non-facility), effective Jan 1, 2026 IL: $1714.27 (practitioner), effective Apr 1, 2024 IN: $1880.50 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $1387.96 (default, Exempt Physician), effective Aug 1, 2024 KY: $1511.18 (physician, facility), effective Jan 1, 2026 LA: $2002.50 (professional), effective Jul 1, 2025 MA: $1874.51 (physician_surgery), effective May 1, 2024 MS: $1834.00 (comprehensive), effective Jul 1, 2026 ND: $2337.44 (physician), effective Aug 1, 2026 NE: $2964.00 (physician, non-facility), effective Jul 1, 2026 NY: $1155.21 (physician_surgery, facility), effective Jul 1, 2026 OH: $1482.08 (physician), effective Jan 1, 2024 OK: $1942.06 (physician, non-facility), effective Jul 1, 2026 TX: $309.07 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), facility), effective Mar 1, 2025 VA: $1921.88 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $1306.17 (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.