61783 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 61783

Payer coverage policies that name 61783

61783 appears in 8 coverage policies from Aetna, Blue Cross NC.

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
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
AetnaSpinal Surgery: Laminectomy and Fusion (0743)covered if criteria are metJul 30, 2026payer document
AetnaSpinal Surgery: Laminectomy and Fusion (0743)not coveredJul 30, 2026payer document
AetnaThermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703)listed, no stance (range 61000-64999)Nov 24, 2025payer document
Blue Cross NCRadiosurgery, Stereotactic Approachlisted, no stanceMay 1, 2026payer document

Medicaid fee-for-service

  • AZ: $234.65 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $185.05 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $161.32 (physician, non-facility), effective Jan 1, 2026
  • IL: $166.94 (practitioner), effective Apr 1, 2024
  • IN: $168.63 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $97.97 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $189.23 (professional), effective Jul 1, 2025
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $171.44 (comprehensive), effective Jul 1, 2026
  • ND: $203.89 (physician), effective Aug 1, 2026
  • NE: $414.96 (physician, non-facility), effective Jul 1, 2026
  • NY: $80.42 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $118.53 (physician), effective Jan 1, 2024
  • OK: $180.92 (physician, non-facility), effective Jul 1, 2026
  • TX: $185.24 (miscellaneous_other_professionals_radiation_treatment_center, Miscellaneous Other Professionals - Radiation Treatment Center, facility), effective Mar 1, 2025
  • VA: $179.69 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $117.34 (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.