62365 CPT® code: payer coverage and prior authorization1 of 1 payer prior-auth lists that name 62365 require prior authorization or set conditions: Humana.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Humana | Humana Healthy Horizons | OK | prior auth required | Jan 1, 2027 | Humana Healthy Horizons® in Oklahoma Prior Authorization Notification List (PAL) The following preauthorization and notification list |
62365 appears in 12 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, BlueCross BlueShield of South Carolina, Centene.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Infusion Pumps (0161) | covered if criteria are met | Mar 31, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 62263-63746) | Jun 19, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 62361-62370) | 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) | not covered | Jul 8, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 62263-63746) | Jul 23, 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 |
| Anthem | Implantable Infusion Pumps (CG-SURG-79) | not covered | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Epidural Intrathecal And Intraventricular Morphine Administration (L.7.01.405) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Implantable Infusion Pump (L.7.01.430) | covered if criteria are met | payer document | |
| BlueCross BlueShield of South Carolina | Implantable Infusion Pump for Pain and Spasticity (CAM 70141) | listed, no stance | Jan 1, 2026 | payer document |
| Centene | Implantable Intrathecal or Epidural Pain Pump Reference Number: CP.MP.173 (CP.MP.173) | covered if criteria are met | Nov 1, 2025 | payer document |
Prior authorization required or conditional in LA.
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.