Payer policies › CPT 6220062200 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 62200 Payer coverage policies that name 62200 62200 appears in 6 coverage policies from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments (0788) not covered (range 62180-62258) Nov 19, 2025 payer document Aetna Intraoperative Neurophysiological Monitoring (0697) covered if criteria are met (range 62180-62258) Jun 19, 2026 payer document Aetna Intravenous Iron Therapy (0575) listed, no stance (range 61000-64999) Jul 1, 2026 payer document Aetna Lysosomal Storage Disorder Treatments (0442) listed, no stance (range 62180-62258) Jul 8, 2026 payer document Aetna Respiratory Devices: Incentive Spirometers, Vaporizers and Intermittent Positive Pressure Breathing Machines (0479) listed, no stance (range 61000-64999) Jul 9, 2026 payer document Aetna Thermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703) listed, no stance (range 61000-64999) Nov 24, 2025 payer document
Medicaid fee-for-service AZ: $1420.13 (physician, AHCCCS PT 08, facility), effective Oct 1, 2025 CO: $1127.35 (chp_plus, non-facility), effective Jul 1, 2026 FL: $1057.27 (physician, non-facility), effective Jan 1, 2026 IL: $1004.13 (practitioner), effective Apr 1, 2024 IN: $1017.38 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $516.44 (default, Exempt Physician), effective Aug 1, 2024 KY: $918.22 (physician, facility), effective Jan 1, 2026 LA: $1136.07 (professional), effective Jul 1, 2025 MA: $1018.38 (physician_surgery), effective May 1, 2024 MS: $1102.92 (comprehensive), effective Jul 1, 2026 ND: $1351.40 (physician), effective Aug 1, 2026 NE: $653.97 (physician, non-facility), effective Jul 1, 2026 NY: $640.62 (physician_surgery, facility), effective Jul 1, 2026 OH: $999.97 (physician), effective Jan 1, 2024 OK: $1170.81 (physician, non-facility), effective Jul 1, 2026 TX: $173.73 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Mar 1, 2025 VA: $1177.66 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $780.45 (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.