62268 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 62268

Payer coverage policies that name 62268

62268 appears in 8 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Cigna.

PayerPolicyRole in policyReviewedDocument
AetnaIntraoperative Neurophysiological Monitoring (0697)not covered (range 62263-63746)Jun 19, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaNerve Blocks (0863)listed, no stance (range 62263-63746)Jul 23, 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
AetnaUltrasound Guidance – Selected Indications (0952)covered if criteria are metApr 27, 2026payer document
Blue Cross & Blue Shield of MississippiTreatment Of Tarlov Cystunproven / investigationalpayer document
CignaIntraoperative Monitoring (0509)not coveredSep 15, 2025payer document

Medicaid fee-for-service

  • AZ: $293.41 (asc), effective Oct 1, 2026
  • CO: $201.49 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $247.56 (physician, non-facility), effective Jan 1, 2026
  • IL: $341.16 (practitioner), effective Apr 1, 2024
  • IN: $240.97 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $369.31 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $473.93 (asc), effective Jan 1, 2026
  • LA: $182.30 (asc), effective Jul 1, 2012
  • MA: $348.77 (asc), effective May 1, 2026
  • MS: $382.35 (comprehensive, facility), effective Oct 1, 2025
  • ND: $279.38 (physician, facility), effective Aug 1, 2026
  • NE: $413.00 (asc), effective Jul 1, 2024
  • NY: $130.47 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $207.44 (physician), effective Jan 1, 2004
  • OK: $432.38 (asc), effective Jan 1, 2026
  • TX: $340.77 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $275.75 (medical, facility), effective Jul 1, 2026
  • VT: $686.76 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $308.28 (asc), effective Jul 1, 2026
  • WY: $391.15 (outpatient_hospital_apc, Ambulatory Surgical Centers), 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.