64435 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 64435

Payer coverage policies that name 64435

64435 appears in 11 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Capital Blue Cross, Centene.

PayerPolicyRole in policyReviewedDocument
AetnaBupivacaine Liposome (Exparel) (0941)listed, no stanceJul 30, 2026payer document
AetnaComplex Regional Pain Syndrome (CRPS): Treatments (0447)listed, no stance (range 64400-64455)Jul 16, 2026payer document
AetnaInfusion Pumps (0161)covered if criteria are met (range 64400-64530)Mar 31, 2026payer document
AetnaIntravenous Iron Therapy (0575)listed, no stance (range 61000-64999)Jul 1, 2026payer document
AetnaNerve Blocks (0863)covered if criteria are met (range 64400-64450)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
AetnaSpinal Ultrasound (0628)listed, no stance (range 64400-64530)Sep 11, 2026payer document
AetnaThermal Perfusion Probe for Monitoring Regional Cerebral Blood Flow (0703)listed, no stance (range 61000-64999)Nov 24, 2025payer document
Blue Cross & Blue Shield of MississippiPostoperative Pain Management (L.7.02.401)not coveredpayer document
Capital Blue CrossNeural Therapy (MP 8.012)
Procedure codes
unproven / investigationalFeb 1, 2026payer document
CenteneNerve Blocks and Neurolysis for Pain Management Reference Number: CP.MP.170 (CP.MP.170)covered if criteria are metFeb 1, 2025payer document

Medicaid fee-for-service

  • AZ: $25.53 (asc), effective Oct 1, 2026
  • CO: $62.13 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $30.13 (physician, facility), effective Jan 1, 2026
  • IL: $43.28 (practitioner), effective Apr 1, 2024
  • IN: $33.25 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $92.07 (default, Exempt Physician), effective Jul 1, 2023
  • KY: $45.55 (asc), effective Jan 1, 2026
  • LA: $106.95 (professional), effective Feb 1, 2013
  • MA: $37.73 (asc), effective May 1, 2026
  • MS: $38.82 (comprehensive, facility), effective Oct 1, 2025
  • ND: $45.05 (physician, facility), effective Aug 1, 2026
  • NE: $67.12 (physician, facility), effective Jul 1, 2026
  • NY: $40.83 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $30.35 (physician, facility), effective Jan 1, 2024
  • OK: $34.37 (physician, facility), effective Jul 1, 2026
  • TX: $43.19 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $33.56 (medical, facility), effective Jul 1, 2026
  • VT: $548.09 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $22.55 (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.