67229 CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 67229

1 of 1 payer prior-auth lists that name 67229 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas.

PayerPlanStatePrior authConditionsSinceSource
Blue Cross and Blue Shield of TexasTexas PA exemption (gold card), outpatient, fully insuredTXprior auth requiredGold-card exemption availableJul 1, 2026BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range)

Payer coverage policies that name 67229

67229 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaTranspupillary Thermal Therapy (0490)listed, no stanceOct 5, 2026payer document

Medicaid fee-for-service

  • AZ: $173.61 (asc), effective Oct 1, 2026
  • CO: $919.72 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $786.35 (physician, non-facility), effective Jan 1, 2026
  • IL: $763.22 (practitioner), effective Apr 1, 2024
  • IN: $887.17 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026
  • KS: $139.94 (asc, facility), effective Jan 1, 2008
  • KY: $294.70 (asc), effective Jan 1, 2026
  • LA: $913.05 (professional), effective Jul 1, 2025
  • MA: $217.72 (asc), effective May 1, 2026
  • MS: $235.62 (comprehensive, facility), effective Oct 1, 2025
  • MT: $1105.48 (optometric, facility), effective Jul 1, 2025
  • ND: $173.73 (physician, facility), effective Aug 1, 2026
  • NE: $1185.60 (physician, non-facility), effective Jul 1, 2026
  • NY: $485.44 (physician_surgery, facility), effective Jul 1, 2026
  • OH: $633.16 (physician), effective Jan 1, 2024
  • OK: $268.86 (asc), effective Jan 1, 2026
  • TX: $208.33 (ambulatory_surgical_center_asc_hospital_based_ambulatory_sur, Ambulatory Surgical Center (Asc) / Hospital - Based Ambulatory Surgical Center (Hasc)), effective Jun 1, 2023
  • VA: $840.28 (medical), effective Jul 1, 2026
  • VT: $427.05 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $580.37 (physician, facility), effective Jul 1, 2026
  • WY: $243.23 (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.