61781 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61781

Payer coverage policies that name 61781

61781 appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross NC.

PayerPolicyRole in policyReviewedDocument
AetnaEladocagene Exuparvovec-tneq (Kebilidi) (1073)listed, no stance (range 61781-61782)Mar 27, 2026payer document
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
AetnaMotor Cortex Stimulation (0755)listed, no stanceFeb 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
AetnaSinus Surgeries (0937)listed, no stanceApr 10, 2026payer document
AetnaThermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703)listed, no stance (range 61000-64999)Nov 24, 2025payer document
Blue Cross & Blue Shield of MississippiStereotactic Radiosurgery And Stereotactic Body Radiotherapycovered if criteria are metpayer document
Blue Cross NCRadiosurgery, Stereotactic Approachlisted, no stanceMay 1, 2026payer document

Medicaid fee-for-service

  • AZ: $238.49 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $187.87 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $167.29 (physician, non-facility), effective Jan 1, 2026
  • IL: $172.12 (practitioner), effective Apr 1, 2024
  • IN: $169.90 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $99.02 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $193.51 (professional), effective Jul 1, 2025
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $176.44 (comprehensive), effective Jul 1, 2026
  • ND: $208.02 (physician), effective Aug 1, 2026
  • NE: $489.06 (physician, non-facility), effective Jul 1, 2026
  • NY: $93.81 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $143.56 (physician), effective Jan 1, 2024
  • OK: $186.62 (physician, non-facility), effective Jul 1, 2026
  • TX: $198.72 (miscellaneous_other_professionals_radiation_treatment_center, Miscellaneous Other Professionals - Radiation Treatment Center, facility), effective Mar 1, 2025
  • VA: $186.34 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $120.78 (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.