62328 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 62328

Payer coverage policies that name 62328

62328 appears in 9 coverage policies from Aetna.

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
AetnaNusinersen (Spinraza) (0915)listed, no stanceSep 9, 2026payer document
AetnaOnasemnogene Abeparvovec (Zolgensma and Itvisma) (0953)listed, no stanceAug 10, 2026payer document
AetnaParenteral Immunoglobulins (0206)listed, no stanceOct 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
AetnaVenous Stenting for the Treatment of Idiopathic Intracranial Hypertension (1039)listed, no stanceJan 14, 2026payer document

Medicaid fee-for-service

  • AZ: $313.95 (asc), effective Oct 1, 2026
  • CO: $86.48 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $58.14 (physician, facility), effective Jan 1, 2026
  • IL: $56.43 (practitioner), effective Apr 1, 2024
  • IN: $65.93 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $194.60 (asc, facility), effective Jan 1, 2020
  • KY: $378.22 (asc), effective Jan 1, 2026
  • LA: $183.27 (professional), effective Jan 1, 2020
  • MA: $268.46 (asc), effective May 1, 2026
  • MS: $297.40 (comprehensive, facility), effective Oct 1, 2025
  • ND: $222.96 (physician, facility), effective Aug 1, 2026
  • NE: $96.32 (physician, non-facility), effective Jul 1, 2026
  • NY: $50.97 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $73.18 (physician, facility), effective Jan 1, 2020
  • OK: $66.44 (physician, facility), effective Jul 1, 2026
  • TX: $262.86 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $63.66 (medical, facility), effective Jul 1, 2026
  • VT: $548.09 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $42.62 (physician, facility), effective Jul 1, 2026
  • WY: $312.17 (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.