63275 CPT® code: payer coverage and prior authorization29 of 29 payer prior-auth lists that name 63275 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Blue Cross and Blue Shield of Texas, CarePlus Health Plans, Humana, Neighborhood Health Partnership, Oxford Health Plans, Rocky Mountain Health Plans, Surest, UnitedHealthcare, UnitedHealthcare Community Plan.
63275 appears in 18 coverage policies from Aetna, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | covered if criteria are met (range 63275-63290) | Jun 19, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | covered if criteria are met (range 63250-63295) | Jun 19, 2026 | payer document |
| Aetna | Intraoperative Neurophysiological Monitoring (0697) | not covered (range 62263-63746) | Jun 19, 2026 | payer document |
| Aetna | Intravenous Iron Therapy (0575) | listed, no stance (range 61000-64999) | Jul 1, 2026 | payer document |
| Aetna | Nerve Blocks (0863) | listed, no stance (range 62263-63746) | Jul 23, 2026 | payer document |
| Aetna | Orthopedic Casts, Braces and Splints (0009) | listed, no stance (range 63250-63290) | Jan 20, 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 |
| UnitedHealthcare | Spinal Fusion and Decompression (2026T0639J) | listed, no stance | Sep 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (CS365.E) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Idaho Only) (CS365ID.D) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Kansas Only) (CS365KS.02) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Kentucky Only) (CS365KY.05) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for New Jersey Only) (CS365NJ.E) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for New Mexico Only) (CS365NM.C) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for North Carolina Only) (CSNCT0365.05) | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Ohio Only) (CS365OH.D) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Pennsylvania Only) (CS365PA.E) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | Spinal Fusion and Decompression (for Tennessee Only) (CS365TN.E) | listed, no stance | May 1, 2026 | payer document |
| UnitedHealthcare | This Medical Policy only applies to the State of Nebraska. (CS365NE.E) | listed, no stance | May 1, 2026 | payer document |
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.