Payer policies › CPT 9065690656 CPT® code: payer coverage and prior authorizationPayer policies and prior authorization for 90656 Payer coverage policies that name 90656 90656 appears in 3 coverage policies from Aetna, Blue Cross & Blue Shield of Rhode Island.
Payer Policy Role in policy Reviewed Document Aetna Influenza Vaccines (0035) covered if criteria are met Oct 8, 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: $23.22 (outpatient_hospital), effective Oct 1, 2025 CO: $21.08 (chp_plus_immunizations), effective Jul 1, 2026 FL: $0.00 (immunization), effective Jul 1, 2026 IL: $16.26 (practitioner), effective Oct 1, 2025 IN: $17.62 (professional, Advanced Practice Nurse (85%), non-facility), effective Oct 1, 2025 KS: $23.89 (default), effective Oct 1, 2026 KY: $0.00 (asc), effective Jan 1, 2026 LA: $0.00 (immunization_0_18), effective Jul 1, 2026 MS: $16.72 (comprehensive), effective Jul 1, 2020 ND: $23.22 (physician), effective Aug 1, 2026 OH: $23.22 (provider_administered_drugs), effective Oct 1, 2025 OK: $21.74 (physician, non-facility), effective Jul 1, 2026 TX: $21.87 (certified_nurse_midwife_cnm, Certified Nurse Midwife (Cnm), non-facility), effective Sep 1, 2026 VA: $23.88 (medical), effective Aug 1, 2026 VT: $22.06 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $2.67 (enhanced_pediatric, facility), effective Jul 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.