Payer policies › CPT 7363073630 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 73630 Payer coverage policies that name 73630 73630 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi.
Payer Policy Role in policy Reviewed Document Aetna Bunionectomy (0629) listed, no stance Sep 11, 2026 payer document Aetna Complex Regional Pain Syndrome (CRPS): Diagnosis (0147) not covered (range 73501-73660) Mar 30, 2026 payer document Aetna Hammertoe Repair (0636) listed, no stance (range 73620-73630) Sep 11, 2026 payer document Blue Cross & Blue Shield of Mississippi Foot Care Services (L.9.01.401) covered if criteria are met (range 73620-73725) payer document
Medicaid fee-for-service Prior authorization required or conditional in WV.
AZ: $58.65 (outpatient_hospital), effective Oct 1, 2021 CO: $28.62 (chp_plus, non-facility), effective Jul 1, 2026 FL: $4.91 (radiology), effective Jan 1, 2026 IL: $21.50 (podiatrist), effective Apr 1, 2024 IN: $25.98 (professional, Advanced Practice Nurse (85%), facility), effective Jan 1, 2026 KS: $4.95 (default, Exempt Physician), effective Jan 1, 2024 KY: $0.00 (asc), effective Jan 1, 2026 LA: $26.31 (lab_radiology), effective Jul 1, 2025 MA: $5.97 (physician_radiology), effective May 1, 2024 MS: $20.15 (comprehensive), effective Jul 1, 2026 ND: $37.92 (physician), effective Aug 1, 2026 NE: $26.43 (physician, non-facility), effective Jul 1, 2026 NY: $19.49 (nurse_practitioner, facility), effective Jul 1, 2026 OH: $21.30 (physician), effective Jan 1, 2024 OK: $28.98 (physician, non-facility), effective Jul 1, 2026 TX: $109.09 (hospital_outpatient_imaging_services, Rural Hospitals), effective Mar 1, 2025 VA: $6.94 (medical), effective Jul 1, 2026 VT: $67.57 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $16.43 (physician, facility), effective Jul 1, 2026 WY: $38.49 (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.