61582 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61582

Payer coverage policies that name 61582

61582 appears in 5 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 61580-61619)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaRespiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479)listed, no stance (range 61000-64999)Jul 9, 2026payer document
AetnaSafety Items (0623)listed, no stance (range 61304-61619)Sep 23, 2026payer document
AetnaThermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703)listed, no stance (range 61000-64999)Nov 24, 2025payer document

Medicaid fee-for-service

  • AZ: $3104.21 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $2487.72 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $2393.53 (physician, non-facility), effective Jan 1, 2026
  • IL: $2111.21 (practitioner), effective Apr 1, 2024
  • IN: $2247.03 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $2090.06 (default), effective Aug 1, 2024
  • KY: $1556.79 (physician, facility), effective Jan 1, 2026
  • LA: $2422.06 (professional), effective Jul 1, 2025
  • MA: $2373.12 (physician_surgery), effective May 1, 2024
  • MS: $2478.41 (comprehensive), effective Jul 1, 2026
  • ND: $3157.89 (physician), effective Aug 1, 2026
  • NE: $614.02 (physician, non-facility), effective Jul 1, 2026
  • NY: $1334.91 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1564.03 (physician), effective Jan 1, 2024
  • OK: $2638.77 (physician, non-facility), effective Jul 1, 2026
  • TX: $375.67 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $2666.09 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $1807.23 (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.