62160 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 62160

Payer coverage policies that name 62160

62160 appears in 6 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaAlzheimer's Disease: Experimental, Investigational, or Unproven Treatments (0788)not coveredNov 19, 2025payer document
AetnaGrid Monitoring and Intraoperative Electroencephalography (0289)listed, no stance (range 62160-62165)Apr 17, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 62160-62165)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
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: $190.37 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $145.43 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $134.04 (physician, non-facility), effective Jan 1, 2026
  • IL: $156.52 (practitioner), effective Jul 1, 2026
  • IN: $135.64 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $110.86 (default, Exempt Physician), effective Aug 1, 2024
  • KY: $0.00 (asc), effective Jan 1, 2026
  • LA: $154.45 (professional), effective Jul 1, 2025
  • MA: $0.00 (asc), effective May 1, 2026
  • MS: $141.35 (comprehensive), effective Jul 1, 2026
  • ND: $166.72 (physician), effective Aug 1, 2026
  • NE: $170.42 (physician, non-facility), effective Jul 1, 2026
  • NY: $93.39 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $124.22 (physician), effective Jan 1, 2024
  • OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026
  • TX: $158.58 (physician, Physician, facility), effective Mar 1, 2025
  • VA: $149.31 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $96.89 (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.