63032 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 63032

19 of 19 payer prior-auth lists that name 63032 require prior authorization or set conditions: Aetna, Blue Cross Blue Shield of Arizona (AZ Blue), CarePlus Health Plans, HealthSpring, Humana.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross Blue Shield of Arizona (AZ Blue)Federal Employee Program (FEP)AZprior auth requiredSep 1, 2026Federal Employee Program (FEP) Prior Authorization Requirements Code List (Updated 09/01/2026)
Blue Cross Blue Shield of Arizona (AZ Blue)Standard PA code list (most commercial plans)AZprior auth requiredGold-card eligibleSep 1, 2026AZ Blue Standard Prior Authorization Requirements Code List (09/01/2026)
Blue Cross Blue Shield of Arizona (AZ Blue)State of Arizona employee group (SYD, S3Z)AZprior auth requiredGold-card eligibleSep 1, 2026State of Arizona Group Prior Authorization Requirements Code List (09/01/2026)
Blue Cross Blue Shield of Arizona (AZ Blue)Teamsters group (TYW)AZprior auth requiredGold-card eligibleSep 1, 2026Teamsters Group Prior Authorization Requirements Code List (Updated 09/01/2026)
AetnaCommercialAllprior auth requiredsite of care: procedure and site of service reviewOct 1, 2026Participating provider precertification list for Aetna®
AetnaMedicare AdvantageAllprior auth requiredOct 1, 2026Participating provider precertification list for Aetna®
HealthSpringMedicare AdvantageAllprior auth requiredApr 1, 20262026 Q4 Prior Authorization List
CarePlus Health PlansCarePlus Health PlansFLprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
HumanaHumana D-SNP (FL)FLprior auth requiredJan 1, 20271 *New prior authorization requirement 787403FL0725 FLHMQSREN Humana Dual Fully Integrated Florida Prior Authorization and Notification List
HumanaHumana D-SNP (IL)ILprior auth requiredJan 1, 2027Humana Dual Fully Integrated Illinois Prior Authorization and Notification List
HumanaHumana D-SNP (IN)INprior auth requiredJan 1, 2027*New prior authorization requirement 814403IN0825 H4939_INHN6Z6EN_C Humana PathWays Dual Care (HMO-POS D-SNP) Indiana Prior Authorization and Notification List
HumanaHumana D-SNP (MI)MIprior auth requiredJan 1, 20271 Humana Dual Highly Integrated Michigan Prior Authorization and Notification List
HumanaHumana D-SNP (SC)SCprior auth requiredJan 1, 2027Humana Dual Highly Integrated South Carolina Prior Authorization and Notification List
HumanaHumana D-SNP (VA)VAprior auth requiredJan 1, 2027Virginia Prior Authorization and Notification List
HumanaHumana Healthy HorizonsILprior auth requiredJan 1, 2027Humana Healthy Horizons in Illinois Prior Authorization and Notification List To view -specific medical coverage policies, please visit Humana Healthy Horizons in Illinois Clinical coverage policies .
HumanaHumana MA and D-SNPAllprior auth requiredJan 1, 2027Medicare Advantage and Dual Eligible Special Needs Plans Prior Authorization and Notification List
HumanaMusculoskeletalAllprior auth requiredHumana Prior Authorization List (PAL): Musculoskeletal Services
HumanaMusculoskeletalAllprior auth requiredHumana Prior Authorization List (PAL): Musculoskeletal Services
HumanaMusculoskeletalAllprior auth requiredHumana Prior Authorization List (PAL): Musculoskeletal Services

Payer coverage policies that name 63032

63032 appears in 19 coverage policies from Aetna, Premera Blue Cross, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaBack Pain - Invasive Procedures (0016)listed, no stance (range 63001-63091)Oct 6, 2026payer document
AetnaIntraoperative Neurophysiological Monitoring (0697)covered if criteria are met (range 63001-63053)Jun 19, 2026payer document
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
AetnaOrthopedic Casts, Braces and Splints (0009)listed, no stance (range 63001-63051)Jan 20, 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
Premera Blue CrossLumbar Spine Decompression Surgery: Discectomy, Foraminotomy, Laminotomy, Laminectomy in Adults (7.01.551)listed, no stanceAug 24, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (CS031.T)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (2026T0105EE)listed, no stanceJan 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Idaho Only) (CS031ID.B)listed, no stanceJun 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Kansas Only) (CS031KS.02)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Kentucky Only) (CS031KY.06)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Nebraska Only) (CS031NE.T)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for New Mexico Only) (CS031NM.C)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for North Carolina Only) (CSNCT0105.04)listed, no stanceFeb 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Ohio Only) (CS031OH.D)listed, no stanceMar 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Pennsylvania Only) (CS031PA.R)listed, no stanceApr 1, 2026payer document
UnitedHealthcareDiscogenic Pain Treatment (for Tennessee Only) (CS031TN.R)listed, no stanceFeb 1, 2026payer document

Recent prior-auth changes

  • Apr 1, 2026: PA added, HealthSpring

Medicaid fee-for-service

Prior authorization required or conditional in IN, WA.

  • AZ: $137.38 (physician, AHCCCS PT 08, facility), effective Jan 1, 2026
  • IL: $104.19 (practitioner), effective Jan 1, 2026
  • LA: $22.46 (professional), effective Jan 1, 2026
  • MS: $113.15 (comprehensive), effective Jul 1, 2026
  • ND: $135.55 (physician), effective Aug 1, 2026
  • NY: $74.04 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $107.35 (code_changes), effective Jan 1, 2026
  • TX: $16.85 (nurse_practitioner_clinical_nurse_specialist, Nurse Practitioner/Clinical Nurse Specialist, facility), effective Jan 1, 2026
  • VT: $104.44 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $77.40 (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.