61698 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61698

Payer coverage policies that name 61698

61698 appears in 6 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaGrid Monitoring and Intraoperative Electroencephalography (0289)listed, no stance (range 61680-61711)Apr 17, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 61684-61711)Jun 19, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 61680-61711)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaMagnetic Source Imaging/Magnetoencephalography (0279)listed, no stanceApr 14, 2026payer document
AetnaRespiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479)listed, no stance (range 61000-64999)Jul 9, 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: $4714.02 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $3603.26 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $3400.14 (physician, non-facility), effective Jan 1, 2026
  • IL: $3376.75 (practitioner), effective Apr 1, 2024
  • IN: $3365.23 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $1300.28 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $2318.66 (physician, facility), effective Jan 1, 2026
  • LA: $3804.88 (professional), effective Jul 1, 2025
  • MA: $3369.73 (physician_surgery), effective May 1, 2024
  • MS: $3566.27 (comprehensive), effective Jul 1, 2026
  • ND: $4275.73 (physician), effective Aug 1, 2026
  • NE: $3408.60 (physician, non-facility), effective Jul 1, 2026
  • NY: $2023.39 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $2488.29 (physician), effective Jan 1, 2024
  • OK: $3778.59 (physician, non-facility), effective Jul 1, 2026
  • TX: $550.51 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $3787.33 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $2479.14 (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.