61735 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61735

Payer coverage policies that name 61735

61735 appears in 9 coverage policies from Aetna, Anthem.

PayerPolicyRole in policyReviewedDocument
AetnaGrid Monitoring and Intraoperative Electroencephalography (0289)listed, no stance (range 61720-61791)Apr 17, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 61715-61791)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaParkinson's Disease (0307)covered if criteria are metFeb 24, 2026payer document
AetnaRespiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479)listed, no stance (range 61000-64999)Jul 9, 2026payer document
AetnaStereotactic Cingulotomy and Capsulotomy (0288)covered if criteria are metApr 16, 2026payer document
AetnaThermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703)listed, no stance (range 61000-64999)Nov 24, 2025payer document
AetnaTourette's Syndrome (0480)not coveredJul 24, 2026payer document
AnthemMinimally Invasive Ablative Procedures for Epilepsy (CG-SURG-91)covered if criteria are metNov 6, 2025payer document
AnthemMinimally Invasive Ablative Procedures for Epilepsy (CG-SURG-91)not coveredNov 6, 2025payer document

Medicaid fee-for-service

  • AZ: $1645.03 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1259.10 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1221.96 (physician, non-facility), effective Jan 1, 2026
  • IL: $1198.70 (practitioner), effective Jul 1, 2026
  • IN: $1178.41 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $876.49 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $885.49 (physician, facility), effective Jan 1, 2026
  • LA: $1316.60 (professional), effective Jul 1, 2025
  • MA: $1180.23 (physician_surgery), effective May 1, 2024
  • MS: $1275.34 (comprehensive), effective Jul 1, 2026
  • ND: $1561.30 (physician), effective Aug 1, 2026
  • NE: $2504.58 (physician, non-facility), effective Jul 1, 2026
  • NY: $654.33 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $943.17 (physician), effective Jan 1, 2024
  • OK: $1353.27 (physician, non-facility), effective Jul 1, 2026
  • TX: $1302.58 (physician, Physician, facility), effective Mar 1, 2025
  • VA: $1361.11 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $901.80 (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.