61595 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61595

Payer coverage policies that name 61595

61595 appears in 7 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaFacial Nerve Paralysis (0745)not coveredOct 30, 2025payer document
AetnaGrid Monitoring and Intraoperative Electroencephalography (0289)listed, no stance (range 61590-61619)Apr 17, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 61580-61619)Jun 19, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)not covered (range 61595-61598)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: $2443.48 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1522.33 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1700.20 (physician, non-facility), effective Jan 1, 2026
  • IL: $1669.36 (practitioner), effective Apr 1, 2024
  • IN: $1795.42 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $1014.93 (default), effective Aug 1, 2024
  • KY: $1470.58 (physician, facility), effective Jan 1, 2026
  • LA: $1937.05 (professional), effective Jul 1, 2025
  • MA: $1787.85 (physician_surgery), effective May 1, 2024
  • MS: $1800.37 (comprehensive), effective Jul 1, 2026
  • ND: $2268.35 (physician), effective Aug 1, 2026
  • NE: $2889.90 (physician, non-facility), effective Jul 1, 2026
  • NY: $1102.31 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $1455.27 (physician), effective Jan 1, 2024
  • OK: $1907.12 (physician, non-facility), effective Jul 1, 2026
  • TX: $2025.33 (physician, Physician, facility), effective Mar 1, 2025
  • VA: $1893.81 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $1277.69 (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.