62180 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 62180

Payer coverage policies that name 62180

62180 appears in 6 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaAlzheimer's Disease: Experimental, Investigational, or Unproven Treatments (0788)not covered (range 62180-62258)Nov 19, 2025payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 62180-62258)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaLysosomal Storage Disorder Treatments (0442)listed, no stance (range 62180-62258)Jul 8, 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: $1648.16 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025
  • CO: $1010.15 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $1223.26 (physician, non-facility), effective Jan 1, 2026
  • IL: $1167.44 (practitioner), effective Apr 1, 2024
  • IN: $1180.47 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $900.00 (asc, facility), effective Aug 1, 1982
  • KY: $820.00 (physician, facility), effective Jan 1, 2026
  • LA: $264.02 (professional), effective Jul 1, 2025
  • MA: $1181.23 (physician_surgery), effective May 1, 2024
  • MS: $1277.00 (comprehensive), effective Jul 1, 2026
  • ND: $1561.30 (physician), effective Aug 1, 2026
  • NE: $519.33 (physician, non-facility), effective Jul 1, 2026
  • NY: $735.15 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $915.79 (physician), effective Jan 1, 2024
  • OK: $1355.11 (physician, non-facility), effective Jul 1, 2026
  • TX: $192.13 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025
  • VA: $1362.56 (medical), effective Jul 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $901.99 (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.