Payer policies › CPT 9063290632 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 90632 Payer coverage policies that name 90632 90632 appears in 3 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island.
Payer Policy Role in policy Reviewed Document Aetna Hepatitis A Vaccine (0048) covered if criteria are met Mar 11, 2026 payer document Aetna Injectable Medications (0020) listed, no stance (range 90581-90658) Mar 5, 2026 payer document Blue Cross & Blue Shield of Rhode Island Immunizations Adult and Pediatric covered if criteria are met Jun 9, 2026 payer document
Medicaid fee-for-service AZ: $75.74 (outpatient_hospital), effective Jul 1, 2026 CO: $86.15 (chp_plus_immunizations), effective Jul 1, 2026 FL: $84.94 (immunization), effective Jul 1, 2026 IL: $73.73 (practitioner), effective Apr 1, 2026 IN: $0.00 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2020 KS: $74.92 (default), effective Oct 1, 2026 KY: $65.70 (physician, non-facility), effective Jan 1, 2026 LA: $75.74 (immunization_19_20), effective Jul 1, 2026 MS: $65.69 (comprehensive), effective Jan 1, 2023 ND: $75.74 (physician), effective Aug 1, 2026 OH: $75.73 (provider_administered_drugs), effective Jul 1, 2026 OK: $0.00 (outpatient_hospital_apc), effective Jan 1, 2026 TX: $65.82 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2026 VA: $75.73 (medical), effective Jul 1, 2026 VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $75.74 (professional_administered_drugs), effective Jul 1, 2026 WY: $70.08 (professional), effective Oct 1, 2023 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.